Laboratory Corporation of America Holdings
Organization Active NPI Clinical Medical Laboratory · Wilson, NC
NPI 1104396753 · NPPES record last updated Dec 18, 2018
Key facts
- NPI
- 1104396753
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Medical Laboratory 291U00000X
- Legal business name
- LABORATORY CORPORATION OF AMERICA HOLDINGS
- Practice address
- 2500 Horton Blvd
Wilson, NC 27893 - Phone
- (252) 281-2668
- NPI assigned
- Nov 27, 2018
- Organization subpart
- No
Authorized official
- Name
- Kimberly T Williams
- Title
- Vice President
- Phone
- (336) 436-5402
Other NPIs on the same Medicare enrollment 8
Corporate family (same tax ID) 20
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 34D2157358 | Laboratory Corporation of America Holdings | Compliance | May 3, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20161128000002 | NC | Part B Supplier - Independent Clinical Laboratory | 8729991757 |
8 other NPIs on this enrollment Practice locations: Durham, NC; Morrisville, NC; Reidsville, NC; Wilson, NC |
National Provider Directory
- Tax ID family
- Labcorp of Am Holdings-KS
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Yes |
Addresses
Primary practice location
2500 Horton Blvd
Wilson, NC 27893
Mailing address
PO Box 2240
Burlington, NC 27216-2240
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 34D2157358 | Other | CLIA |
Other providers in Wilson, NC
- Lawrence David Krabill
- Peter J Kragel
- Jennifer Florence Kraus
- Kurtz Chiropractic Inc
- Colin Gordon Kurtz
- Danielle Lacarter
- Deborah Bowers Ladd
- Caleb James Lahr
- Morgan Lail
- Jonathan Ross Laird
All providers in Wilson, NC · Clinical Medical Laboratory in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 18, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.