Laboratory Corporation of America Holdings
Organization Active NPI Clinical Medical Laboratory · Baton Rouge, LA
NPI 1164048740 · NPPES record last updated Jul 28, 2020
Key facts
- NPI
- 1164048740
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Medical Laboratory 291U00000X
- Legal business name
- LABORATORY CORPORATION OF AMERICA HOLDINGS
- Practice address
- 8415 Goodwood Blvd Ste 103
Baton Rouge, LA 70806-7851 - Phone
- (225) 935-0039
- NPI assigned
- Jun 19, 2020
- Organization subpart
- No
Authorized official
- Name
- Kimberly T Williams
- Title
- VP
- Phone
- (336) 436-5402
Other NPIs on the same Medicare enrollment 17
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 19D0463125 | Laboratory Corporation of America Holdings | Compliance | Mar 23, 2027 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in LA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040305000728 | LA | Part B Supplier - Independent Clinical Laboratory | 8729991757 |
17 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Monroe, LA; West Monroe, LA |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Yes |
Addresses
Primary practice location
8415 Goodwood Blvd Ste 103
Baton Rouge, LA 70806-7851
Mailing address
PO Box 2240
Burlington, NC 27216-2240
Phone (336) 222-7566
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 19D0463125 | Other | CLIA |
Other providers in Baton Rouge, LA
- Kennedi Clemil Labat
- Jacob Dwayne Labatut
- Victoria M Labatut
- Gabrielle Labbe
- Laboratory Corporation of America
- Laboratory Corporation of America Holdings
- Laboratory Corporation of America Holdings
- Laboratory Corporation of America Holdings
- Laboratory Corporation of America Holdings
- Laboratory Corporation of America Holdings
All providers in Baton Rouge, LA · Clinical Medical Laboratory in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 28, 2020. 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.