Laboratory Corporation of America

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

LABORATORY CORPORATION OF AMERICA

Practice address

43490 Yukon Dr Ste 112
Ashburn, VA 20147-7310

Phone

(703) 729-6830

NPI assigned

May 13, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kimberly T Williams

Title

Vice President

Phone

(336) 222-7566

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in VA

Enrollment records 1

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Laboratory Corporation of America

  • Clinical Medical Laboratory
  • Woodbridge, VA
  • NPI 1205272622

  O20070926000705

  Same enrollment
• Laboratory Corporation of America

  • Clinical Medical Laboratory
  • Winchester, VA
  • NPI 1720167679

  O20070926000705

  Same enrollment
• Laboratory Corporation of America

  • Clinical Medical Laboratory
  • Aurora, CO
  • NPI 1003134032

  O20070926000705

  Same enrollment

Tax ID family

Reference Pathology Lab274 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 3

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

• Laboratory Corporation of America

  • Clinical Medical Laboratory
  • Fairfax, VA
  • NPI 1265975437
  NPD tax ID
• Laboratory Corporation of America

  • Clinical Medical Laboratory
  • Fairfax, VA
  • NPI 1760729636
  NPD tax ID
• Laboratory Corporation of America

  • Clinical Medical Laboratory
  • Chantilly, VA
  • NPI 1972588978
  NPD tax ID

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Laboratory Corporation of America Holdings

  • Clinical Medical Laboratory
  • Cromwell, CT
  • NPI 1700517984

  Member Of

  NPD member

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1715558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715558400000",
    "number": "1033967112",
    "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": "43490 YUKON DR STE 112",
            "city": "ASHBURN",
            "state": "VA",
            "postal_code": "201477310",
            "telephone_number": "703-729-6830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORY CORPORATION OF AMERICA",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-13",
        "last_updated": "2024-05-13",
        "certification_date": "2024-05-13",
        "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": "336-222-7566"
    },
    "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": "49D2303441",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brett Alexandria Kulp
• Kung Fu Massage LLC
• Kristen Kunka, FNP-C
• Peter McClintic Kwapisz
• Nathan Bryant Kyle
• Laboratory Corporation of America Holdings
• Maryam Labriny
• Labs Easy LLC
• Jodi Lynn Ladden, B.C.B.A.
• Laevo Solutions LLC

• Clinical Medical Laboratory in Ashburn, VA
• Providers in Ashburn, VA by specialty
• Clinical Medical Laboratory in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.