Laboratory Corporation of America Holdings
Organization Active NPI Clinical Medical Laboratory · Rayville, LA
NPI 1467435495 · NPPES record last updated Aug 17, 2007
Key facts
- NPI
- 1467435495
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Medical Laboratory 291U00000X
- Legal business name
- LABORATORY CORPORATION OF AMERICA HOLDINGS
- Practice address
- 254 Highway 3048
Rayville, LA 71269-3624 - Phone
- (318) 728-4181
- NPI assigned
- Nov 23, 2005
- Organization subpart
- No
Authorized official
- Name
- William B Hayes
- Title
- Cfo/Evp/ Treasurer
- Phone
- (800) 222-7566
Other NPIs on the same Medicare enrollment 17
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
254 Highway 3048
Rayville, LA 71269-3624
Mailing address
PO Box 2240
Burlington, NC 27216-2240
Phone (800) 222-7566
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1475581 | Medicaid | LA |
NPI Registry JSON
{
"created_epoch": "1132704000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1187308800000",
"number": "1467435495",
"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",
"fax_number": "336-436-1048"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "254 HIGHWAY 3048",
"city": "RAYVILLE",
"state": "LA",
"postal_code": "712693624",
"telephone_number": "318-728-4181"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LABORATORY CORPORATION OF AMERICA HOLDINGS",
"organizational_subpart": "NO",
"enumeration_date": "2005-11-23",
"last_updated": "2007-08-17",
"status": "A",
"authorized_official_last_name": "HAYES",
"authorized_official_first_name": "WILLIAM",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "CFO/EVP/ TREASURER",
"authorized_official_telephone_number": "800-222-7566"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1475581",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rayville, LA
- Albert Glen Kerr
- Kimberly Carter Therapy, Inc.
- Kimberly Carter Therapy, Inc.
- Brian Paul Krier
- Danielle Renee Kroper
- Samirora Lacy
- Dan J Lafleur
- Allison Kathleen Lampo
- Toni Evette Lee
- Crystal Nicole Littleton-Powell
All providers in Rayville, 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 Aug 17, 2007. 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.