Laboratory Corporation of America Holdings

Organization Active NPI Clinical Medical Laboratory · Greenville, NC

NPI 1477047389 · NPPES record last updated Sep 17, 2018

Key facts

NPI
1477047389
Entity type
Organization (NPI type 2)
Primary specialty
Clinical Medical Laboratory 291U00000X
Legal business name
LABORATORY CORPORATION OF AMERICA HOLDINGS
Practice address
2253 Stantonsburg Rd
Greenville, NC 27834-2841
Phone
(252) 758-1493
NPI assigned
Jun 15, 2018
Organization subpart
No

Authorized official

Name
Kimberly T Williams
Title
Vice President
Phone
(336) 436-5402

Other NPIs on the same Medicare enrollment 24

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NC

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
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

Locations

2253 Stantonsburg Rd
Greenville, NC 27834
Phone (252) 758-1493

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Yes

Addresses

Primary practice location

2253 Stantonsburg Rd
Greenville, NC 27834-2841

Mailing address

PO Box 2240
Burlington, NC 27216-2240
Phone (800) 222-7566

Other identifiers

IdentifierTypeStateIssuer
34D0655223OtherCLIA

Other providers in Greenville, NC

All providers in Greenville, NC · Clinical Medical Laboratory in North Carolina

Sources for this page

Verify at the official NPI Registry.