Active NPI
Laboratory Corporation of America
- Clinical Medical Laboratory
- Amarillo, TX
National Provider Identifier
1508842907
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- LABORATORY CORPORATION OF AMERICA
- Practice address
- 1901 Medi Park Dr Ste 2062
Amarillo, TX 79106-2169 - Phone
- (806) 359-8567
- NPI assigned
- Dec 16, 2005
- 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 Williams
- Title
- VP
- Phone
- (800) 222-7566
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
1901 Medi Park Dr Ste 2062
Amarillo, TX 79106-2169
Mailing address
PO Box 2240
Burlington, NC 27216-2240
Phone (800) 222-7566
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 45D0974783 | Other | TX | CLIA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050623001023 | TX | Part B Supplier - Independent Clinical Laboratory | 2668379025 |
This NPI is an additional NPI on the enrollment Practice locations: Austin, TX; Wichita Falls, TX; Weslaco, TX; San Antonio, TX; Mansfield, TX; Houston, TX; Decatur, TX; Dallas, TX… |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 45D0974783 | Laboratory Corporation of America | Compliance | Mar 9, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Reference Pathology Lab
Organizations with this tax ID in the same state 24
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
- Clinical Medical Laboratory
- Kaufman, TX
- NPI 1104801083
-
- Clinical Medical Laboratory
- Houston, TX
- NPI 1134106214
-
- Clinical Medical Laboratory
- Red Oak, TX
- NPI 1215557129
-
- Clinical Medical Laboratory
- Lubbock, TX
- NPI 1255563672
-
- Clinical Medical Laboratory
- Dallas, TX
- NPI 1265418669
-
- Clinical Medical Laboratory
- Cleveland, TX
- NPI 1306420260
-
- Clinical Medical Laboratory
- San Antonio, TX
- NPI 1336399278
-
- Clinical Medical Laboratory
- Wharton, TX
- NPI 1346586377
-
- Clinical Medical Laboratory
- Mansfield, TX
- NPI 1386205870
-
- Clinical Medical Laboratory
- Kingwood, TX
- NPI 1427792670
-
- Clinical Medical Laboratory
- Dallas, TX
- NPI 1437681988
-
- Clinical Medical Laboratory
- Weslaco, TX
- NPI 1487835021
Locations
1901 Medi Park Dr
Ste 43
Amarillo, TX 79106
1901 Medi Park Dr
Ste 2062
Amarillo, TX 79106
Phone (806) 359-8567
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1134691200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1581897600000",
"number": "1508842907",
"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": "1901 MEDI PARK DR STE 2062",
"city": "AMARILLO",
"state": "TX",
"postal_code": "791062169",
"telephone_number": "806-359-8567"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LABORATORY CORPORATION OF AMERICA",
"organizational_subpart": "NO",
"enumeration_date": "2005-12-16",
"last_updated": "2020-02-17",
"certification_date": "2020-02-17",
"status": "A",
"authorized_official_last_name": "WILLIAMS",
"authorized_official_first_name": "KIMBERLY",
"authorized_official_title_or_position": "VP",
"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": "45D0974783",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Amarillo, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.