NPIMap

Organization Active NPI

Laboratory Corporation of America

  • Clinical Medical Laboratory
  • San Diego, CA
National Provider Identifier
1659352276
Registry record updated Dec 11, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
LABORATORY CORPORATION OF AMERICA
Practice address
13112 Evening Creek Dr S
Suite 200
San Diego, CA 92128-4108
Phone
(858) 668-3700
NPI assigned
Nov 10, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2013

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)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

13112 Evening Creek Dr S
Suite 200
San Diego, CA 92128-4108

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
05D0571200OtherCACLIA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20041115001338 CA Part B Supplier - Independent Clinical Laboratory 2668379025 11 other NPIs on this enrollment
Practice locations: Los Angeles, CA; San Diego, CA

Other NPIs on the same Medicare enrollment 10

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

National Provider Directory

National Provider Directory
Tax ID family
Reference Pathology Lab274 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 9

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

Locations (25 of 51)

28240 Agoura Rd
Ste 204
Agoura Hills, CA 91301

11930 Heritage Oak Pl
Ste 7
Auburn, CA 95603

465 N Roxbury Dr
Ste 715
Beverly Hills, CA 90210

2701 W Alameda Ave
Ste 203
Burbank, CA 91505
Phone (818) 845-6206

50 E Hamilton Ave
Ste 180
Campbell, CA 95008
Phone (408) 871-9153

6620 Coyle Ave
Ste 109
Carmichael, CA 95608

255 W Bullard Ave
Ste 118
Clovis, CA 93612

3831 Hughes Ave
Ste 607
Culver City, CA 90232
Phone (310) 204-1146

499 N El Camino Real
Ste 101
Encinitas, CA 92024

345 Saxony Rd
Ste 201B
Encinitas, CA 92024

351 Santa Fe Dr
Ste 210
Encinitas, CA 92024

6101 N Fresno St
Ste 103
Fresno, CA 93710

7710 N Fresno St
Ste 101
Fresno, CA 93720

700 W 6th St
Ste E
Gilroy, CA 95020

3989 W Stetson Ave
Ste 203
Hemet, CA 92545

3331 W Century Blvd
Inglewood, CA 90303
Phone (310) 671-1523

4980 Barranca Pkwy
Ste 100
Irvine, CA 92604
Phone (949) 262-0828

31571 Canyon Estates Dr
Ste 101
Lake Elsinore, CA 92532

3504 South St
Lakewood, CA 90712

5901 W Olympic Blvd
Ste 109
Los Angeles, CA 90036
Phone (323) 692-0700

2440 S Sepulveda Blvd
Ste 181
Los Angeles, CA 90064
Phone (310) 996-0036

222 I St
Los Banos, CA 93635
Phone (209) 826-7280

4351 E Imperial Hwy
Lynwood, CA 90262
Phone (310) 609-2406

26991 Crown Valley Pkwy
Ste B
Mission Viejo, CA 92691

1101 McHenry Ave
Ste 104
Modesto, CA 95350

Networks

  • HealthSun Health Plans Network

NPI Registry JSON

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

{
    "created_epoch": "1131580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1386720000000",
    "number": "1659352276",
    "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": "13112 EVENING CREEK DR S",
            "address_2": "SUITE 200",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921284108",
            "telephone_number": "858-668-3700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORY CORPORATION OF AMERICA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-10",
        "last_updated": "2013-12-11",
        "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": "05D0571200",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in San Diego, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2013; 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.