Laboratory Corporation of America Holdings

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

LABORATORY CORPORATION OF AMERICA HOLDINGS

Practice address

8515 Eagle Point Blvd
Suite 100
Lake Elmo, MN 55042-8624

Phone

(651) 259-9501

NPI assigned

May 11, 2017

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

(800) 222-7566

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

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

• Laboratory Corporation of America Holdings

  • Clinical Medical Laboratory
  • Blaine, MN
  • NPI 1295261105

  O20171010000723

  Same enrollment
• Laboratory Corporation of America Holdings

  • Clinical Medical Laboratory
  • Saint Paul, MN
  • NPI 1578030839

  O20171010000723

  Same enrollment

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

{
    "created_epoch": "1494460800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494460800000",
    "number": "1578090304",
    "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": "8515 EAGLE POINT BLVD",
            "address_2": "SUITE 100",
            "city": "LAKE ELMO",
            "state": "MN",
            "postal_code": "550428624",
            "telephone_number": "651-259-9501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORY CORPORATION OF AMERICA HOLDINGS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-05-11",
        "last_updated": "2017-05-11",
        "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": "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": "24D2128909",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrew Klotz, MA
• Koastal Home Care LLC
• Aaron Christopher Koen, MASSAGE THERAPIST
• Luciano I Kolodny, MD
• Mykaela D Korn, DPT
• Lake Elmo Pharmacy
• Lakeview Hospital Inc.
• Stuart Lantz, MA
• Alan S Law, DDS, PHD
• Courtney Leitschuh

• Clinical Medical Laboratory in Lake Elmo, MN
• Providers in Lake Elmo, MN by specialty
• Clinical Medical Laboratory in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 2017; 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.

Verify at the official NPI Registry.