Laboratory Corporation of America Holdings
Organization Active NPI Clinical Medical Laboratory · Charlotte, NC
NPI 1366846321 · NPPES record last updated Oct 20, 2014
Key facts
- NPI
- 1366846321
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Medical Laboratory 291U00000X
- Legal business name
- LABORATORY CORPORATION OF AMERICA HOLDINGS
- Practice address
- 12611 N Community House Rd
Charlotte, NC 28277-3816 - Phone
- (704) 598-6042
- NPI assigned
- Oct 20, 2014
- Organization subpart
- No
Authorized official
- Name
- Kimberly Williams
- Title
- Vice President
- Phone
- (800) 222-7566
Other NPIs on the same Medicare enrollment 24
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040120000234 | NC | Part B Supplier - Independent Clinical Laboratory | 8729991757 |
24 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Greensboro, NC; Greenville, NC; Monroe, NC; Mount Airy, NC |
National Provider Directory
Networks
- HealthSun Health Plans Network
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Yes |
Addresses
Primary practice location
12611 N Community House Rd
Charlotte, NC 28277-3816
Mailing address
PO Box 2240
Burlington, NC 27216-2240
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 34D2084209 | Other | CLIA |
Other providers in Charlotte, NC
- 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
- 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 Charlotte, 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 Oct 20, 2014. 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.