Active NPI
Laboratory Corporation of America Holdings
- Clinical Medical Laboratory
- Salisbury, NC
National Provider Identifier
1720322860
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- LABORATORY CORPORATION OF AMERICA HOLDINGS
- Practice address
- 611 Mocksville Ave
Ste 201
Salisbury, NC 28144-2705 - Phone
- (704) 645-8634
- NPI assigned
- Nov 15, 2012
- 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
611 Mocksville Ave
Ste 201
Salisbury, NC 28144-2705
Mailing address
PO Box 2240
Burlington, NC 27216-2240
Phone (800) 222-7566
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 34D2049004 | Other | CLIA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040610001321 | NC | Part B Supplier - Independent Clinical Laboratory | 8729991757 |
This NPI is an additional NPI on the enrollment Practice locations: Mars Hill, NC; Winston Salem, NC; RTP, NC; Research Triangle Park, NC; Raleigh, NC; Kernersville, NC; Greensboro, NC; Graham, NC… |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1352937600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1387152000000",
"number": "1720322860",
"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"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "611 MOCKSVILLE AVE",
"address_2": "STE 201",
"city": "SALISBURY",
"state": "NC",
"postal_code": "281442705",
"telephone_number": "704-645-8634"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LABORATORY CORPORATION OF AMERICA HOLDINGS",
"organizational_subpart": "NO",
"enumeration_date": "2012-11-15",
"last_updated": "2013-12-16",
"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": "34D2049004",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Salisbury, NC
- Susan Lynn Kutz, CRNA
- L.a.S Learning Playhouse, LLC (Comprehensive Care Professionals)
- L&L Access, LLC (101 Mobility)
- Lauren M La Moureaux, APRN, PMHNP-BC
- Frank Anthony Labagnara, D.O.
- Seth Steven Labovitz, PH.D.
- Braelyn Jewell Lahaie
- Katherine Embra Lamb, MSW, P-LCSW
- Whitney Michelle Lamb, MSW
- Pankaj Lamba, M.D.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 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.