Laboratory Corporation of America Holdings
Organization Active NPI Clinical Medical Laboratory · Mars Hill, NC
NPI 1205811684 · NPPES record last updated Dec 16, 2013
Key facts
- NPI
- 1205811684
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Medical Laboratory 291U00000X
- Legal business name
- LABORATORY CORPORATION OF AMERICA HOLDINGS
- Practice address
- 119 Mountain View Rd
Mars Hill, NC 28754-9500 - Phone
- (828) 689-2426
- NPI assigned
- Dec 8, 2005
- Organization subpart
- No
Authorized official
- Name
- Kimberly Williams
- Title
- VP
- Phone
- (800) 222-7566
Corporate family (same tax ID) 24
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 34D0705479 | Laboratory Corp of America Holdings | Compliance | Aug 27, 2026 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040610001321 | NC | Part B Supplier - Independent Clinical Laboratory | 8729991757 |
This NPI is an additional NPI on the enrollment Practice locations: Mars Hill, NC; Winston Salem, NC; RTP, NC; Research Triangle Park, NC; Raleigh, NC; Kernersville, NC; Greensboro, NC; Graham, NC… |
National Provider Directory
- Tax ID family
- Labcorp of Am Holdings-KS
Networks
- HealthSun Health Plans Network
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Yes |
Addresses
Primary practice location
119 Mountain View Rd
Mars Hill, NC 28754-9500
Mailing address
PO Box 2240
Burlington, NC 27216-2240
Phone (800) 222-7566
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 34D0705479 | Other | NC | CLIA |
Other providers in Mars Hill, NC
- Frielden B Jones
- Julia Dawn Jones
- Joan Fletcher Keefe
- Kirby Knight
- Virginia A La Flamme
- Sara Christina Lappe
- Chelsea Lawing
- Jacqueline Jessica Leonard
- Jason Leonard
- Lume Behavioral Health, PLLC
All providers in Mars Hill, NC · Clinical Medical Laboratory in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 16, 2013. 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.