Organization
LABORATORY CORPORATION OF AMERICA HOLDINGS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY T WILLIAMS (VICE PRESIDENT)
(800) 222-7566
Entity
Organization
Contact information
Practice address
1027 FREDERICK ST, BLUEFIELD, WV 24701-3942
(304) 324-7638
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
—
51D2076430
CLIA
WV
Enumeration date
04/23/2014
Last updated
04/23/2014
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