Organization
LABORATORY CORPORATION OF AMERICA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM B. HAYES (CFO MVP TREASURER)
(800) 222-7566
Entity
Organization
Contact information
Practice address
1950 E CLARK ST STE E, POCATELLO, ID 83201-3314
(208) 233-3794
Mailing address
PO BOX 2240, BURLINGTON, NC 27216-2240
(800) 222-7566
(336) 436-1048
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
13D0520374
CLIA
—
Enumeration date
07/07/2011
Last updated
08/16/2013
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