Laboratory Corporation of America Holdings
Organization Active NPI Clinical Medical Laboratory · Roanoke Rapids, NC
NPI 1780195321 · NPPES record last updated Oct 23, 2017
Key facts
- NPI
- 1780195321
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Medical Laboratory 291U00000X
- Legal business name
- LABORATORY CORPORATION OF AMERICA HOLDINGS
- Practice address
- 270 Smith Church Rd
Roanoke Rapids, NC 27870-4914 - Phone
- (252) 308-6816
- Fax
- (252) 308-6964
- NPI assigned
- Oct 23, 2017
- Organization subpart
- No
Authorized official
- Name
- Kimberly T Williams
- Title
- Vice President
- Phone
- (800) 222-7566
Other NPIs on the same Medicare enrollment 24
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040120000234 | NC | Part B Supplier - Independent Clinical Laboratory | 8729991757 |
24 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Greensboro, NC; Greenville, NC; Monroe, NC; Mount Airy, NC |
National Provider Directory
Locations
270 Smith Church Rd
Roanoke Rapids, NC 27870
Phone (252) 308-6816
Networks
- HealthSun Health Plans Network
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Yes |
Addresses
Primary practice location
270 Smith Church Rd
Roanoke Rapids, NC 27870-4914
Mailing address
PO Box 2240
Burlington, NC 27216-2240
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 34D2136523 | Other | CLIA |
Other providers in Roanoke Rapids, NC
- Deborah Lynn King
- Lana Martini King
- Chastity Kinsler
- Laboratory Corporation of America Holdings
- Laboratory Corporation of America Holdings
- Jaqueria Brianna Lacy
- Annishe Renee Lambert
- Philip Odartei Lamptey
- Gail Lane
- Waquita Nicole Lane
All providers in Roanoke Rapids, NC · Clinical Medical Laboratory in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 23, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.