Labcorp Genetics Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

LABCORP GENETICS INC

Practice address

1400 16TH St
San Francisco, CA 94103-5110

Phone

(336) 222-7566

NPI assigned

Apr 25, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kimberly T Williams

Title

Vice President

Phone

(336) 436-5761

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Labcorp Genetics Inc

  • Clinical Medical Laboratory
  • Iselin, NJ
  • NPI 1790531259

  0941747125

  Same PAC ID

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Labcorp Genetics Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Labcorp Genetics Inc

  • Clinical Medical Laboratory
  • Burlington, NC
  • NPI 1720834278
  NPD tax ID
• Labcorp Genetics Inc

  • Clinical Medical Laboratory
  • Iselin, NJ
  • NPI 1790531259
  NPD tax ID

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Laboratory Corporation of America Holdings

  • Clinical Medical Laboratory
  • Cromwell, CT
  • NPI 1700517984

  Member Of

  NPD member

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1714003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727395200000",
    "number": "1518713072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8033",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272168033",
            "telephone_number": "336-436-5761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1400 16TH ST",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941035110",
            "telephone_number": "336-222-7566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABCORP GENETICS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-25",
        "last_updated": "2024-09-27",
        "certification_date": "2024-09-27",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "336-436-5761"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua T Laari
• Eugene Labarre
• Angele Shari Helen Labastide, MD
• Sydney Camille Labat
• Shelley Labban, MD
• Matthew Laberdie
• Jeanne M. Laberge, M.D.
• Janelle Labiaga, RD
• Christina Labib, LCPC
• Ryan Labit

• Clinical Medical Laboratory in San Francisco, CA
• Providers in San Francisco, CA by specialty
• Clinical Medical Laboratory in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2024; 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.

Verify at the official NPI Registry.