Organization
LABORATORY CORPORATION OF AMERICA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY T WILLIAMS (VP)
(336) 436-5761
Entity
Organization
Contact information
Practice address
3702 S STATE ST STE 107, SALT LAKE CITY, UT 84115-5096
(321) 654-7890
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
—
46D2174313
CLIA
—
Enumeration date
12/04/2019
Last updated
12/04/2019
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