Organization
LABORATORY CORPORATION OF AMERICA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY T WILLIAMS (VICE PRESIDENT)
(800) 222-7566
Entity
Organization
Contact information
Practice address
2750 11TH ST, ROCK ISLAND, IL 61201-5216
(309) 948-5037
Mailing address
PO BOX 2240, BURLINGTON, NC 27216-2240
(336) 436-5884
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
14D2213992
CLIA
—
Enumeration date
04/15/2021
Last updated
06/25/2021
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