Organization
LABCORP INDIANA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY T WILLIAMS (VICE PRESIDENT)
(800) 222-7566
Entity
Organization
Contact information
Practice address
530 N LAFAYETTE BLVD FL 1, SOUTH BEND, IN 46601-1004
(574) 400-4247
Mailing address
PO BOX 2240, BURLINGTON, NC 27216-2240
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
15D2179256
CLIA
—
Enumeration date
05/14/2020
Last updated
05/14/2020
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