Active NPI
Laboratory Corporation of America
- Clinical Medical Laboratory
- Phoenix, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- 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, 2013
- 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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03D0528350 | Other | AZ | CLIA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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.
-
- Clinical Medical Laboratory
- Yuma, AZ
- NPI 1205210036
O20040225000425
-
- Clinical Medical Laboratory
- Tucson, AZ
- NPI 1376525410
O20040225000425
-
- Clinical Medical Laboratory
- Tucson, AZ
- NPI 1376774430
O20040225000425
-
- Clinical Medical Laboratory
- Prescott, AZ
- NPI 1407006646
O20040225000425
-
- Clinical Medical Laboratory
- Prescott Valley, AZ
- NPI 1427208461
O20040225000425
-
- Clinical Medical Laboratory
- Yuma, AZ
- NPI 1558744185
O20040225000425
-
- Clinical Medical Laboratory
- Cottonwood, AZ
- NPI 1619121423
O20040225000425
-
- Clinical Medical Laboratory
- Flagstaff, AZ
- NPI 1700969474
O20040225000425
-
- Clinical Medical Laboratory
- Tucson, AZ
- NPI 1720060965
O20040225000425
-
- Clinical Medical Laboratory
- Bullhead City, AZ
- NPI 1851758197
O20040225000425
-
- Clinical Medical Laboratory
- Chino Valley, AZ
- NPI 1124302732
O20040225000425
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 03D0528350 | Laboratory Corporation of America | Accreditation | Feb 8, 2027 |
National Provider Directory
National Provider Directory- Tax ID family
- Laboratory Corp Fo America
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.