Active NPI
Laboratory Corporation of America Holdings
- Clinical Medical Laboratory
- Wilmington, DE
National Provider Identifier
1497203293
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- LABORATORY CORPORATION OF AMERICA HOLDINGS
- Practice address
- 1941 Limestone Rd
Suite 109
Wilmington, DE 19808-5408 - Phone
- (302) 994-8575
- NPI assigned
- Sep 21, 2016
- 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
- Rev & Billing Analyst
- Phone
- (800) 222-7566
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
1941 Limestone Rd
Suite 109
Wilmington, DE 19808-5408
Mailing address
PO Box 2240
Burlington, NC 27216-2240
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 08D2116369 | Other | CLIA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DE
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050624000198 | DE | Part B Supplier - Independent Clinical Laboratory | 8729991757 |
1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: New Castle, DE |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Clinical Medical Laboratory
- New Castle, DE
- NPI 1710968334
O20050624000198
National Provider Directory
National Provider DirectoryNetworks
- HealthSun Health Plans Network
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1474416000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1474416000000",
"number": "1497203293",
"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": "1941 LIMESTONE RD",
"address_2": "SUITE 109",
"city": "WILMINGTON",
"state": "DE",
"postal_code": "198085408",
"telephone_number": "302-994-8575"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LABORATORY CORPORATION OF AMERICA HOLDINGS",
"organizational_subpart": "NO",
"enumeration_date": "2016-09-21",
"last_updated": "2016-09-21",
"status": "A",
"authorized_official_last_name": "WILLIAMS",
"authorized_official_first_name": "KIMBERLY",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "REV & BILLING ANALYST",
"authorized_official_telephone_number": "800-222-7566"
},
"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": "08D2116369",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wilmington, DE
- La Belle Vie Care LLC
- Jennifer Soberano Labang, PHYSICAL THERAPIST
- Meriel Sage Labeck, NCC, LPCMH, LCMHC
- Mariam Kamel Labib- Soliman, DMD
- Laboratory Corporation of America Holdings
- Anna Lackey, DO
- Taylor Michelle Lacy, MD
- Sarah Lafayette, MS, RDN
- Nancy G. Lagowski, P.T.A.
- Rachel Spinner Lahasky, LCSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2016; 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.