Active NPI
Laboratory Corporation of America Holdings
- Clinical Medical Laboratory
- West Monroe, LA
National Provider Identifier
1679199715
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- LABORATORY CORPORATION OF AMERICA HOLDINGS
- Practice address
- 107 Contempo Ave Ste B
West Monroe, LA 71291-5383 - Phone
- (318) 398-1665
- Fax
- (318) 329-8094
- NPI assigned
- Jun 24, 2020
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Kimberly T Williams
- Title
- VP
- Phone
- (336) 222-7566
Other NPIs on the same Medicare enrollment 17
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Clinical Medical Laboratory
- Baton Rouge, LA
- NPI 1275656415
O20040305000728
-
- Clinical Medical Laboratory
- Livingston, LA
- NPI 1013995331
O20040305000728
-
- Clinical Medical Laboratory
- West Monroe, LA
- NPI 1073139010
O20040305000728
-
- Clinical Medical Laboratory
- Baton Rouge, LA
- NPI 1164048740
O20040305000728
-
- Clinical Medical Laboratory
- Baton Rouge, LA
- NPI 1164049086
O20040305000728
-
- Clinical Medical Laboratory
- Walker, LA
- NPI 1245856434
O20040305000728
-
- Clinical Medical Laboratory
- Baton Rouge, LA
- NPI 1245856624
O20040305000728
-
- Clinical Medical Laboratory
- Winnsboro, LA
- NPI 1336122522
O20040305000728
-
- Clinical Medical Laboratory
- Rayville, LA
- NPI 1467435495
O20040305000728
-
- Clinical Medical Laboratory
- Monroe, LA
- NPI 1518940709
O20040305000728
-
- Clinical Medical Laboratory
- Baton Rouge, LA
- NPI 1588649172
O20040305000728
-
- Clinical Medical Laboratory
- Monroe, LA
- NPI 1598748782
O20040305000728
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040305000728 | LA | Part B Supplier - Independent Clinical Laboratory | 8729991757 |
17 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Monroe, LA; West Monroe, LA |
National Provider Directory
National Provider DirectoryLocations
107 Contempo Ave
Ste B
West Monroe, LA 71291
Phone (318) 388-5030
Specialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
107 Contempo Ave Ste B
West Monroe, LA 71291-5383
Mailing address
PO Box 2240
Burlington, NC 27216-2240
Phone (336) 222-7566
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 19D2049335 | Other | CLIA |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jun 24, 2020.
{
"created_epoch": "1592956800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1592956800000",
"number": "1679199715",
"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": "336-222-7566"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 CONTEMPO AVE STE B",
"city": "WEST MONROE",
"state": "LA",
"postal_code": "712915383",
"telephone_number": "318-398-1665",
"fax_number": "318-329-8094"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LABORATORY CORPORATION OF AMERICA HOLDINGS",
"organizational_subpart": "NO",
"enumeration_date": "2020-06-24",
"last_updated": "2020-06-24",
"certification_date": "2020-06-24",
"status": "A",
"authorized_official_last_name": "WILLIAMS",
"authorized_official_first_name": "KIMBERLY",
"authorized_official_middle_name": "T",
"authorized_official_title_or_position": "VP",
"authorized_official_telephone_number": "336-222-7566"
},
"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": "19D2049335",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in West Monroe, LA
- Amanda Labarrere, LPC
- Laboratory Corporation of America Holdings
- Laboratory Corporation of America Holdings
- Laboratory Corporation of America Holdings
- Laboratory Corporation of America Holdings
- Laboratory Corporation of America Holdings
- Kathryn Raymond Laborde, APRN
- Alandra Blaise Lacaze, CIT
- Ashley Lambert
- Shconda Lambert, SPECIALIST
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2020; 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.