Active NPI
Laboratory Corporation of America
- Clinical Medical Laboratory
- Katy, TX
National Provider Identifier
1891011086
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- LABORATORY CORPORATION OF AMERICA
- Practice address
- 2510 W Grand Pkwy N
Katy, TX 77449-2853 - Phone
- (713) 442-4211
- NPI assigned
- Apr 13, 2010
- 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
2510 W Grand Pkwy N
Katy, TX 77449-2853
Mailing address
PO Box 2240
Burlington, NC 27216-2240
Phone (800) 222-7566
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 45D2005205 | Other | CLIA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20101222000643 | TX | Part B Supplier - Independent Clinical Laboratory | 2668379025 |
5 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Houston, TX; Kingwood, TX |
Other NPIs on the same Medicare enrollment 5
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Clinical Medical Laboratory
- Conroe, TX
- NPI 1427683713
O20101222000643
-
- Clinical Medical Laboratory
- Kingwood, TX
- NPI 1427792670
O20101222000643
-
- Clinical Medical Laboratory
- Porter, TX
- NPI 1568002368
O20101222000643
-
- Clinical Medical Laboratory
- Midland, TX
- NPI 1740551449
O20101222000643
-
- Clinical Medical Laboratory
- Houston, TX
- NPI 1871250803
O20101222000643
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 |
|---|---|---|---|
| 45D2222284 | Kelsey-Seybold Clinic West Campus BLDG a Lab | Certificate of waiver | Apr 27, 2027 |
National Provider Directory
National Provider DirectoryMember of 1
Organizations this organization is a member of, according to the National Provider Directory.
-
- Clinical Medical Laboratory
- Cromwell, CT
- NPI 1700517984
Member Of
Locations
23000 Highland Knolls Blvd
Katy, TX 77494
Phone (713) 442-4200
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1271116800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1594944000000",
"number": "1891011086",
"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": "2510 W GRAND PKWY N",
"city": "KATY",
"state": "TX",
"postal_code": "774492853",
"telephone_number": "713-442-4211"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LABORATORY CORPORATION OF AMERICA",
"organizational_subpart": "NO",
"enumeration_date": "2010-04-13",
"last_updated": "2020-07-17",
"certification_date": "2020-07-17",
"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": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CLIA",
"identifier": "45D2005205",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Katy, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 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.