Active NPI
Laboratory Corporation of America Holdings
- Clinical Medical Laboratory
- New York, NY
National Provider Identifier
1194404384
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- LABORATORY CORPORATION OF AMERICA HOLDINGS
- Practice address
- 44 E 67TH St
New York, NY 10065-6135 - Phone
- (646) 618-8649
- NPI assigned
- Jul 14, 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
- Vice President
- Phone
- (336) 436-5402
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
44 E 67TH St
New York, NY 10065-6135
Mailing address
PO Box 2240
Burlington, NC 27216-2240
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 33D0902914 | Other | CLIA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NY
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20170123001056 | NY | Part B Supplier - Independent Clinical Laboratory | 8729991757 |
1 other NPI on this enrollment Practice locations: New York, NY; Syracuse, NY |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Clinical Medical Laboratory
- Syracuse, NY
- NPI 1073060257
O20170123001056
National Provider Directory
National Provider Directory- Tax ID family
- Labcorp of Am Holdings-KS
Organizations with this tax ID in the same state 4
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
- Clinical Medical Laboratory
- Syracuse, NY
- NPI 1073060257
-
- Clinical Medical Laboratory
- Albany, NY
- NPI 1174740542
-
- Clinical Medical Laboratory
- Plainview, NY
- NPI 1447946942
-
- Clinical Medical Laboratory
- Liverpool, NY
- NPI 1467437129
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1689292800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1692921600000",
"number": "1194404384",
"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": "44 E 67TH ST",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100656135",
"telephone_number": "646-618-8649"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LABORATORY CORPORATION OF AMERICA HOLDINGS",
"organizational_subpart": "NO",
"enumeration_date": "2023-07-14",
"last_updated": "2023-08-25",
"certification_date": "2023-08-25",
"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": "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": "33D0902914",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 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.