Organization
LABORATORY CORPORATION OF AMERICA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY WILLIAMS (VP)
(800) 222-7566
Entity
Organization
Contact information
Practice address
1470 VALLEY VISTA DR, STE 100, DIAMOND BAR, CA 91765-3952
(909) 861-6966
Mailing address
PO BOX 2240, BURLINGTON, NC 27216-2240
(800) 222-7566
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
05D0679739
CLIA
—
Enumeration date
04/19/2010
Last updated
11/26/2013
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