Organization Active NPI

Laboratory Corporation of America

  • Clinical Medical Laboratory
  • Phoenix, AZ
National Provider Identifier
1740262880
Registry record updated Dec 17, 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
5005 S 40TH St
Ste 1200
Phoenix, AZ 85040-2969
Phone
(602) 454-8000
NPI assigned
Nov 15, 2005
Last updated
Dec 17, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 17, 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 NU Primary

Addresses

Primary practice location

5005 S 40TH St
Ste 1200
Phoenix, AZ 85040-2969

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
03D0528350OtherAZCLIA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040225000425 AZ Part B Supplier - Independent Clinical Laboratory 2668379025 11 other NPIs on this enrollment
Practice locations: Phoenix, AZ

Other NPIs on the same Medicare enrollment 11

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

Laboratory certificates & supplier records

Derived by NPIMap

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
03D0528350Laboratory Corporation of America5005 S 40TH St, Ste 1200, Phoenix, AZ 85040AccreditationFeb 8, 2027

National Provider Directory

National Provider Directory
Tax ID family
Laboratory Corp Fo America274 organizations share this tax ID, including this one

Locations (25 of 29)

3654 W Anthem Way
Ste B120
Anthem, AZ 85086

10815 W McDowell Rd
Ste 302
Avondale, AZ 85392

725 S Dobson Rd
Ste 103
Chandler, AZ 85224
Phone (480) 282-8336

1764 E Route 66
Ste 2
Flagstaff, AZ 86004
Phone (928) 773-2575

16838 E Palisades Blvd
Ste A101
Fountain Hls, AZ 85268

2730 S Val Vista Dr
Ste 111
Gilbert, AZ 85295

1151 S La Canada Dr
Ste 101
Green Valley, AZ 85614

6118 E Brown Rd
Mesa, AZ 85205
Phone (480) 924-4422

12152 N Rancho Vistoso Blvd
Oro Valley, AZ 85755

9139 W Thunderbird Rd
Ste 150
Peoria, AZ 85381
Phone (623) 977-0661

3815 E Bell Rd
Ste 1450
Phoenix, AZ 85032

3930 E Watkins St
Ste 30
Phoenix, AZ 85034

4350 E Ray Rd
Ste 125
Phoenix, AZ 85044

5005 S 40th St
Ste 12
Phoenix, AZ 85040

3051 N Windsong Dr
Rm 12
Prescott Valley, AZ 86314
Phone (928) 772-3336

21321 E Ocotillo Rd
Ste 101
Queen Creek, AZ 85142

8575 E Princess Dr
Ste 119
Scottsdale, AZ 85255

9465 E Ironwood Square Dr
Ste 103
Scottsdale, AZ 85258

14418 W Meeker Blvd
Bldg B104
Sun City West, AZ 85375

15317 W Bell Rd
Ste 102
Surprise, AZ 85374

1950 E Southern Ave
Ste 101
Tempe, AZ 85282
Phone (602) 730-6514

1011 N Craycroft Rd
Ste 201
Tucson, AZ 85711

1400 W Valencia Rd
Ste 101
Tucson, AZ 85746

2625 N Craycroft Rd
Ste 220
Tucson, AZ 85712
Phone (520) 324-2820

310 N Wilmot Rd
Ste 102
Tucson, AZ 85711
Phone (520) 296-3000

Networks

  • HealthSun Health Plans Network

NPI Registry JSON

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

{
    "created_epoch": "1132012800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1387238400000",
    "number": "1740262880",
    "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": "5005 S 40TH ST",
            "address_2": "STE 1200",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850402969",
            "telephone_number": "602-454-8000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORY CORPORATION OF AMERICA",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-11-15",
        "last_updated": "2013-12-17",
        "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": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA",
            "identifier": "03D0528350",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2013; 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.