Active NPI
Laboratory Corporation of America
- Clinical Medical Laboratory
- London, KY
National Provider Identifier
1154645166
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- LABORATORY CORPORATION OF AMERICA
- Practice address
- 202 W 7TH St
London, KY 40741-1763 - Phone
- (606) 864-9427
- NPI assigned
- Mar 19, 2010
- 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 Williams
- Title
- VP
- Phone
- (800) 222-7566
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
202 W 7TH St
London, KY 40741-1763
Mailing address
PO Box 2240
Burlington, NC 27216-2240
Phone (800) 222-7566
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 18D0323805 | Other | CLIA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040325000553 | KY | Part B Supplier - Independent Clinical Laboratory | 2668379025 |
11 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Louisville, KY; Lexington, KY |
Other NPIs on the same Medicare enrollment 11
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Clinical Medical Laboratory
- Louisville, KY
- NPI 1073596268
O20040325000553
-
- Clinical Medical Laboratory
- Paintsville, KY
- NPI 1215065735
O20040325000553
-
- Clinical Medical Laboratory
- Lexington, KY
- NPI 1245477132
O20040325000553
-
- Clinical Medical Laboratory
- Louisville, KY
- NPI 1255314449
O20040325000553
-
- Clinical Medical Laboratory
- Lexington, KY
- NPI 1285612465
O20040325000553
-
- Clinical Medical Laboratory
- Draffenville, KY
- NPI 1407026685
O20040325000553
-
- Clinical Medical Laboratory
- Frankfort, KY
- NPI 1548397367
O20040325000553
-
- Clinical Medical Laboratory
- Lexington, KY
- NPI 1629105291
O20040325000553
-
- Clinical Medical Laboratory
- Pikeville, KY
- NPI 1841494705
O20040325000553
-
- Clinical Medical Laboratory
- Louisville, KY
- NPI 1891778080
O20040325000553
-
- Clinical Medical Laboratory
- Maysville, KY
- NPI 1952548026
O20040325000553
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1268956800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1386892800000",
"number": "1154645166",
"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"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "202 W 7TH ST",
"city": "LONDON",
"state": "KY",
"postal_code": "407411763",
"telephone_number": "606-864-9427"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LABORATORY CORPORATION OF AMERICA",
"organizational_subpart": "NO",
"enumeration_date": "2010-03-19",
"last_updated": "2013-12-13",
"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": "18D0323805",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in London, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2013; 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.