Active NPI
Laboratory Corporation of America
- Clinical Medical Laboratory
- Arlington, TX
National Provider Identifier
1114588605
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- LABORATORY CORPORATION OF AMERICA
- Practice address
- 3201 Matlock Rd Ste 210
Arlington, TX 76015-2946 - Phone
- (817) 419-2598
- Fax
- (817) 419-2632
- NPI assigned
- Jun 25, 2019
- Organization subpart
- No
NPPES NPI Registry
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
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
3201 Matlock Rd Ste 210
Arlington, TX 76015-2946
Mailing address
PO Box 2240
Burlington, NC 27216-2240
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 45D2167579 | Other | CLIA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100525000384 | TX | Part B Supplier - Independent Clinical Laboratory | 2668379025 |
4 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Arlington, TX; Irving, TX |
| O20161205002005 | TX | Part B Supplier - Independent Clinical Laboratory | 2668379025 |
4 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Arlington, TX; Cleveland, TX; Fort Worth, TX |
Other NPIs on the same Medicare enrollment 8
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Clinical Medical Laboratory
- Conroe, TX
- NPI 1073069084
O20161205002005
-
- Clinical Medical Laboratory
- Irving, TX
- NPI 1083496244
O20100525000384
-
- Clinical Medical Laboratory
- Cleveland, TX
- NPI 1306420260
O20161205002005
-
- Clinical Medical Laboratory
- Arlington, TX
- NPI 1639956550
O20161205002005
-
- Clinical Medical Laboratory
- Paris, TX
- NPI 1710512892
O20100525000384
-
- Clinical Medical Laboratory
- Pearland, TX
- NPI 1720319106
O20100525000384
-
- Clinical Medical Laboratory
- Fort Worth, TX
- NPI 1770227928
O20161205002005
-
- Clinical Medical Laboratory
- Arlington, TX
- NPI 1851065973
O20100525000384
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1561420800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1632355200000",
"number": "1114588605",
"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": "3201 MATLOCK RD STE 210",
"city": "ARLINGTON",
"state": "TX",
"postal_code": "760152946",
"telephone_number": "817-419-2598",
"fax_number": "817-419-2632"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LABORATORY CORPORATION OF AMERICA",
"organizational_subpart": "NO",
"enumeration_date": "2019-06-25",
"last_updated": "2021-09-23",
"certification_date": "2021-09-23",
"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": "45D2167579",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Arlington, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2021; 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.