Laboratory Corporation of America

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

LABORATORY CORPORATION OF AMERICA

Practice address

508 Medical Center Blvd
Conroe, TX 77304-2953

Phone

(936) 760-4600

NPI assigned

Aug 30, 2016

Last updated

Sep 14, 2016By the provider in NPPES

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

(800) 222-7566

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Other NPIs on the same Medicare enrollment 4

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

• Laboratory Corporation of America

  • Clinical Medical Laboratory
  • Arlington, TX
  • NPI 1114588605

  O20161205002005

  Same enrollment
• Laboratory Corporation of America

  • Clinical Medical Laboratory
  • Cleveland, TX
  • NPI 1306420260

  O20161205002005

  Same enrollment
• Laboratory Corporation of America

  • Clinical Medical Laboratory
  • Arlington, TX
  • NPI 1639956550

  O20161205002005

  Same enrollment
• Laboratory Corporation of America

  • Clinical Medical Laboratory
  • Fort Worth, TX
  • NPI 1770227928

  O20161205002005

  Same enrollment

Member of 1

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

• Laboratory Corporation of America Holdings

  • Clinical Medical Laboratory
  • Matthews, NC
  • NPI 1972946267

  Member Of

  NPD member

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

{
    "created_epoch": "1472515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473811200000",
    "number": "1073069084",
    "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": "508 MEDICAL CENTER BLVD",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773042953",
            "telephone_number": "936-760-4600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORY CORPORATION OF AMERICA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-30",
        "last_updated": "2016-09-14",
        "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": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "45D2116086",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kyndal B Kutac
• Christine M Kutz, FNP
• Shelby Kvinta
• Ajay Kwatra, MD
• L&C Best Choice Care LLC
• Laboratory Corporation of America
• Laboratory Corporation of America
• Lauren Ladd
• Bibilola Ladipo-Ajayi, PHARM D
• Brenda Risinger Ladkani, MSN, RN, APRN, FNP-C

• Clinical Medical Laboratory in Conroe, TX
• Providers in Conroe, TX by specialty
• Clinical Medical Laboratory in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2016; 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.