Active NPI
Laboratory Corporation of America Holdings
- Clinical Medical Laboratory
- Kernersville, NC
National Provider Identifier
1013347574
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- LABORATORY CORPORATION OF AMERICA HOLDINGS
- Practice address
- 1710 Kernersville Medical Pkwy
Suite 116
Kernersville, NC 27284-7155 - Phone
- (336) 992-2853
- NPI assigned
- Nov 20, 2013
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Kimberly T Williams
- Title
- Vice President
- Phone
- (800) 222-7566
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 34D2068467 | Laboratory Corporation of America Holdings | Compliance | Aug 28, 2026 |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040610001321 | NC | Part B Supplier - Independent Clinical Laboratory | 8729991757 |
This NPI is an additional NPI on the enrollment Practice locations: Mars Hill, NC; Winston Salem, NC; RTP, NC; Research Triangle Park, NC; Raleigh, NC; Kernersville, NC; Greensboro, NC; Graham, NC… |
National Provider Directory
National Provider Directory- Tax ID family
- Labcorp of Am Holdings-KS
Organizations with this tax ID in the same state 13
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
- Clinical Medical Laboratory
- Graham, NC
- NPI 1003174772
-
- Clinical Medical Laboratory
- Zebulon, NC
- NPI 1013738939
-
- Clinical Medical Laboratory
- Research Triangle Park, NC
- NPI 1033196001
-
- Clinical Medical Laboratory
- High Point, NC
- NPI 1053191148
-
- Clinical Medical Laboratory
- Raleigh, NC
- NPI 1053396705
-
- Clinical Medical Laboratory
- Roxboro, NC
- NPI 1073871745
-
- Clinical Medical Laboratory
- Roanoke Rapids, NC
- NPI 1104102540
-
- Clinical Medical Laboratory
- Wilson, NC
- NPI 1104396753
-
- Clinical Medical Laboratory
- Chapel Hill, NC
- NPI 1104519354
-
- Clinical Medical Laboratory
- Morrisville, NC
- NPI 1104828938
-
- Clinical Medical Laboratory
- Raleigh, NC
- NPI 1124710348
-
- Clinical Medical Laboratory
- Garner, NC
- NPI 1144916628
Networks
- HealthSun Health Plans Network
- SC HMO
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
1710 Kernersville Medical Pkwy
Suite 116
Kernersville, NC 27284-7155
Mailing address
PO Box 2240
Burlington, NC 27216-2240
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 34D2068467 | Other | CLIA |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 16, 2016.
{
"created_epoch": "1384905600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1473984000000",
"number": "1013347574",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2240",
"city": "BURLINGTON",
"state": "NC",
"postal_code": "272162240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1710 KERNERSVILLE MEDICAL PKWY",
"address_2": "SUITE 116",
"city": "KERNERSVILLE",
"state": "NC",
"postal_code": "272847155",
"telephone_number": "336-992-2853"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LABORATORY CORPORATION OF AMERICA HOLDINGS",
"organizational_subpart": "NO",
"enumeration_date": "2013-11-20",
"last_updated": "2016-09-16",
"status": "A",
"authorized_official_last_name": "WILLIAMS",
"authorized_official_first_name": "KIMBERLY",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "800-222-7566"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLIA",
"identifier": "34D2068467",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kernersville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.