Active NPI
Laboratory Corporation of America
- Clinical Medical Laboratory
- Walla Walla, WA
National Provider Identifier
1144717331
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- LABORATORY CORPORATION OF AMERICA
- Practice address
- 1120 W Rose St
Walla Walla, WA 99362 - Phone
- (509) 537-6542
- NPI assigned
- Apr 13, 2018
- 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
1120 W Rose St
Walla Walla, WA 99362
Mailing address
PO Box 2240
Burlington, NC 27216-2240
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 50D1052688 | Other | CLIA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040209000184 | WA | Part B Supplier - Independent Clinical Laboratory | 2668379025 |
This NPI is an additional NPI on the enrollment Practice locations: Tukwila, WA; Seattle, WA; Toppenish, WA; Sunnyside, WA; Spokane Valley, WA; Spokane, WA; Walla Walla, WA; Wapato, WA… |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 50D1052688 | Laboratory Corporation of America | Compliance | Apr 4, 2028 |
National Provider Directory
National Provider Directory- Tax ID family
- Reference Pathology Lab
Organizations with this tax ID in the same state 17
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
- Clinical Medical Laboratory
- Yakima, WA
- NPI 1003520420
-
- Clinical Medical Laboratory
- Seattle, WA
- NPI 1073599478
-
- Clinical Medical Laboratory
- Yakima, WA
- NPI 1073746368
-
- Clinical Medical Laboratory
- Sunnyside, WA
- NPI 1114388832
-
- Clinical Medical Laboratory
- Grandview, WA
- NPI 1114414216
-
- Clinical Medical Laboratory
- Kennewick, WA
- NPI 1164097259
-
- Clinical Medical Laboratory
- Seattle, WA
- NPI 1164791422
-
- Clinical Medical Laboratory
- Renton, WA
- NPI 1215206586
-
- Clinical Medical Laboratory
- Seattle, WA
- NPI 1215398359
-
- Clinical Medical Laboratory
- Bellevue, WA
- NPI 1285677484
-
- Clinical Medical Laboratory
- Spokane, WA
- NPI 1295222412
-
- Clinical Medical Laboratory
- Spokane Valley, WA
- NPI 1336942127
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1523577600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1704672000000",
"number": "1144717331",
"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": "1120 W ROSE ST",
"city": "WALLA WALLA",
"state": "WA",
"postal_code": "99362",
"telephone_number": "509-537-6542"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LABORATORY CORPORATION OF AMERICA",
"organizational_subpart": "NO",
"enumeration_date": "2018-04-13",
"last_updated": "2024-01-08",
"certification_date": "2024-01-08",
"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": "50D1052688",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Walla Walla, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.