Organization
LABORATORY CORPORATION OF AMERICA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY T WILLIAMS (VICE PRESIDENT)
(336) 436-5761
Entity
Organization
Contact information
Practice address
4745 ARAPAHOE AVE STE 200, BOULDER, CO 80303-1082
(303) 515-0315
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
—
06D2243547
CLIA
—
Enumeration date
01/06/2022
Last updated
01/07/2022
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