Laboratory Corporation of America

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

LABORATORY CORPORATION OF AMERICA

Practice address

3411 Bonita Beach Rd
Ste 309
Bonita Springs, FL 34134-4155

Phone

(239) 948-0237

NPI assigned

Nov 15, 2005

Organization subpart

No

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

Authorized official

Name

Kimberly Williams

Title

VP

Phone

(800) 222-7566

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1132012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1384732800000",
    "number": "1073595211",
    "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",
            "telephone_number": "800-222-7566",
            "fax_number": "336-436-1048"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3411 BONITA BEACH RD",
            "address_2": "STE 309",
            "city": "BONITA SPRINGS",
            "state": "FL",
            "postal_code": "341344155",
            "telephone_number": "239-948-0237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORY CORPORATION OF AMERICA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-15",
        "last_updated": "2013-11-18",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "VP",
        "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": "10D0645651",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tiffany Delisa Kriz, PT, MSPT
• Tami L Kuhlman, M.D.
• William J Kuzbyt, PSYD
• Kynder Home Health Agency
• Athina Lynn Kyritsis, M.D.
• Marilyn Suero Laconsay
• Leonard A Lado, MD
• Michelle Laforme, OTR-L
• Erin Lake, ARNP, FNP-BC
• Daniel C Lamb, LCSW

• Clinical Medical Laboratory in Bonita Springs, FL
• Providers in Bonita Springs, FL by specialty
• Clinical Medical Laboratory in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.