Laboratory Corporation of America

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

LABORATORY CORPORATION OF AMERICA

Practice address

1036 Sharon Dr
Jeffersonville, IN 47130-4522

Phone

(812) 258-9281

NPI assigned

Dec 17, 2014

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kimberly Williams

Title

Vice President

Phone

(800) 222-7566

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IN

Enrollment records 1

Other NPIs on the same Medicare enrollment 2

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

• Laboratory Corporation of America

  • Clinical Medical Laboratory
  • South Bend, IN
  • NPI 1043891336

  O20150325001617

  Same enrollment
• Laboratory Corporation of America

  • Clinical Medical Laboratory
  • Mishawaka, IN
  • NPI 1578226791

  O20150325001617

  Same enrollment

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

CLIA laboratory certificates

Tax ID family

Reference Pathology Lab274 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 2

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

• Laboratory Corporation of America

  • Clinical Medical Laboratory
  • South Bend, IN
  • NPI 1043891336
  NPD tax ID
• Laboratory Corporation of America

  • Clinical Medical Laboratory
  • Mishawaka, IN
  • NPI 1578226791
  NPD tax ID

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Laboratory Corporation of America Holdings

  • Clinical Medical Laboratory
  • Cromwell, CT
  • NPI 1700517984

  Member Of

  NPD member

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

{
    "created_epoch": "1418774400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602028800000",
    "number": "1801294236",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1036 SHARON DR",
            "city": "JEFFERSONVILLE",
            "state": "IN",
            "postal_code": "471304522",
            "telephone_number": "812-258-9281"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORY CORPORATION OF AMERICA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-17",
        "last_updated": "2020-10-07",
        "certification_date": "2020-10-07",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "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": "15D2087398",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jade Krukowski, RBT
• Nicholas Carl Kuchle, M.D.
• Elena Maxim Kurland, MD
• Taylor Christine L'Heureux, DNP, APRN, PMHNP-BC
• Labone of Ohio Inc
• William H. Lafayette Jr., MA, LMFT
• Lake Substance Abuse Solutions LLC
• Robyn Lamere, RBT
• Landmark Surgical Suites II, LLC
• Landmark Surgical Suites, LLC

• Clinical Medical Laboratory in Jeffersonville, IN
• Providers in Jeffersonville, IN by specialty
• Clinical Medical Laboratory in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2020; 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.