Active NPI
Laboratory Corporation of America
- Clinical Medical Laboratory
- Kirkland, WA
National Provider Identifier
1942570593
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- LABORATORY CORPORATION OF AMERICA
- Practice address
- 12910 Totem Lake Blvd NE Ste 101
Kirkland, WA 98034-2901 - Phone
- (425) 814-5006
- NPI assigned
- Jan 12, 2012
- 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
12910 Totem Lake Blvd NE Ste 101
Kirkland, WA 98034-2901
Mailing address
PO Box 2240
Burlington, NC 27216-2240
Phone (800) 222-7566
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 50D2029657 | Other | CLIA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040209000184 | WA | Part B Supplier - Independent Clinical Laboratory | 2668379025 |
This NPI is an additional NPI on the enrollment Practice locations: Tukwila, WA; Seattle, WA; Toppenish, WA; Sunnyside, WA; Spokane Valley, WA; Spokane, WA; Walla Walla, WA; Wapato, WA… |
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 |
|---|---|---|---|
| 50D2029657 | Laboratory Corporation of America | Certificate of waiver | Apr 4, 2028 |
National Provider Directory
National Provider Directory- Tax ID family
- Reference Pathology Lab
Organizations with this tax ID in the same state 13
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
- Clinical Medical Laboratory
- Richland, WA
- NPI 1740265750
-
- Clinical Medical Laboratory
- Toppenish, WA
- NPI 1740777960
-
- Clinical Medical Laboratory
- Gig Harbor, WA
- NPI 1801174446
-
- Clinical Medical Laboratory
- Richland, WA
- NPI 1811562010
-
- Clinical Medical Laboratory
- Sedro Woolley, WA
- NPI 1821305996
-
- Clinical Medical Laboratory
- Olympia, WA
- NPI 1821314071
-
- Clinical Medical Laboratory
- Walla Walla, WA
- NPI 1821886615
-
- Clinical Medical Laboratory
- Kennewick, WA
- NPI 1841865045
-
- Clinical Medical Laboratory
- Yakima, WA
- NPI 1851085716
-
- Clinical Medical Laboratory
- Spokane Valley, WA
- NPI 1861226508
-
- Clinical Medical Laboratory
- Lacey, WA
- NPI 1871007906
-
- Clinical Medical Laboratory
- Yakima, WA
- NPI 1922653203
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1326326400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1658361600000",
"number": "1942570593",
"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": "12910 TOTEM LAKE BLVD NE STE 101",
"city": "KIRKLAND",
"state": "WA",
"postal_code": "980342901",
"telephone_number": "425-814-5006"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LABORATORY CORPORATION OF AMERICA",
"organizational_subpart": "NO",
"enumeration_date": "2012-01-12",
"last_updated": "2022-07-21",
"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": "50D2029657",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kirkland, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.