Active NPI
Laboratory Corporation of America Holdings
- Clinical Medical Laboratory
- Durham, NC
National Provider Identifier
1154019677
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- LABORATORY CORPORATION OF AMERICA HOLDINGS
- Practice address
- 2111 Winkler Rd
Durham, NC 27712-9252 - Phone
- (919) 695-5159
- NPI assigned
- Apr 25, 2023
- Last updated
- Apr 25, 2023
- 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
- VP
- Phone
- (336) 436-5402
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
2111 Winkler Rd
Durham, NC 27712-9252
Mailing address
PO Box 2270
Burlington, NC 27216-2270
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 34D2278486 | Other | CLIA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180103003313 | NC | Part B Supplier - Independent Clinical Laboratory | 8729991757 |
5 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Burlington, NC; Madison, NC; Rocky Mount, NC |
Other NPIs on the same Medicare enrollment 5
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Clinical Medical Laboratory
- Burlington, NC
- NPI 1649639824
O20180103003313
-
- Clinical Medical Laboratory
- Rocky Mount, NC
- NPI 1669965547
O20180103003313
-
- Clinical Medical Laboratory
- Chapel Hill, NC
- NPI 1699471870
O20180103003313
-
- Clinical Medical Laboratory
- Madison, NC
- NPI 1831635671
O20180103003313
-
- Clinical Medical Laboratory
- Cary, NC
- NPI 1891492625
O20180103003313
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Molecular Genetics Physician
- Durham, NC
- NPI 1649008764
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1682380800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1682380800000",
"number": "1154019677",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2270",
"city": "BURLINGTON",
"state": "NC",
"postal_code": "272162270"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2111 WINKLER RD",
"city": "DURHAM",
"state": "NC",
"postal_code": "277129252",
"telephone_number": "919-695-5159"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LABORATORY CORPORATION OF AMERICA HOLDINGS",
"organizational_subpart": "NO",
"enumeration_date": "2023-04-25",
"last_updated": "2023-04-25",
"certification_date": "2023-04-25",
"status": "A",
"authorized_official_last_name": "WILLIAMS",
"authorized_official_first_name": "KIMBERLY",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "VP",
"authorized_official_telephone_number": "336-436-5402"
},
"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": "34D2278486",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Durham, NC
- La's Helping Angels Agency Inc
- Anna Leigh Laakman, PHD
- Remco Rudolph Willem Laan
- Anna Frances Labarre, M.S., R.D., L.D.N.
- Virginia Labelle, N.P.
- Laboratory Corporation of America Holdings
- Laboratory Corporation of America Holdings
- Bernadette Labriola, NP
- Matthew Kyle Labriola, M.D.
- Lindsay Shuford Labrot, CCC-SLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2023; 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.