LABORATORY CORPORATION OF AMERICA (NPI# 1053878454) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053878454 |
| Entity Type | Organization |
| Organization Name | LABORATORY CORPORATION OF AMERICA |
| Practice Address |
925 E Polston Ave Post Falls ID 83854-9049 |
| Mailing Address |
Po Box 2240 Burlington NC 27216-2240 |
| Practice Telephone | 2087770385 |
| Enumeration Date | 2019-02-22 |
| Last Update Date | 2019-02-22 |
| Authorized Official Name | KIMBERLY T WILLIAMS (VICE PRESIDENT) |
| Authorized Official Telephone | 8002227566 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | Laboratories |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CLIA | 13D2161656 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881204402 | Laboratory Corporation of America | Clinical Medical Laboratory | 731 Pilot Rd Ste E, Las Vegas, NV 89119-4437 | 2020-08-07 |
| 1497363543 | Laboratory Corporation of America | Clinical Medical Laboratory | 4212 Ne Broadway Rm L100, Portland, OR 97213-1422 | 2020-07-15 |
| 1215557129 | Laboratory Corporation of America | Clinical Medical Laboratory | 317 E Ovilla Road, Suite 200, Red Oak, TX 75154-3833 | 2020-04-21 |
| 1962039867 | Laboratory Corporation of America | Clinical Medical Laboratory | 5450 Millstream Rd, Mc Leansville, NC 27301-9697 | 2020-03-23 |
| 1437785557 | Laboratory Corporation of America | Clinical Medical Laboratory | 2955 Brownwood Blvd St 110, The Villages, FL 32163-2036 | 2020-03-20 |
| 1710512892 | Laboratory Corporation of America | Clinical Medical Laboratory | 3150 Clarksville Street, Suite 400, Paris, TX 75460-8083 | 2020-03-09 |
| 1245881721 | Laboratory Corporation of America | Clinical Medical Laboratory | 3896 Beverly Ave Ne Bldg J Ste 40, Salem, OR 97305-1374 | 2019-09-25 |
| 1922653203 | Laboratory Corporation of America | Clinical Medical Laboratory | 314 S 11th Ave Suite A, Yakima, WA 98902 | 2019-08-05 |
| 1386205870 | Laboratory Corporation of America | Clinical Medical Laboratory | 3141 E Broad Street, Suite 321, Mansfield, TX 76063-6426 | 2019-06-25 |
| 1952969842 | Laboratory Corporation of America | Clinical Medical Laboratory | 6300 Garth Road, Suite 200, Baytown, TX 77521-0101 | 2019-06-05 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | LABORATORY CORPORATION OF AMERICA | 231 Maple Ave, Burlington, NC 27215-5848 |
| Washington State Corporations | LABORATORY CORPORATION OF AMERICA | 358 S Main St, Burlington, NC 27215-5837 |
| New York State Corporations | LABORATORY CORPORATION OF AMERICA | 531 S Spring Street, Burlington, North Carolina 27215 |
| Colorado Business Entities | LABORATORY CORPORATION OF AMERICA | 531 S Spring Street, Burlington, NC 27215 |
| Oregon Corporations, Companies and Business Names | LABORATORY CORPORATION OF AMERICA | 358 South Main Street, Burlington, NC 27215 |
| Iowa Business Entities | LABORATORY CORPORATION OF AMERICA | 358 S Main Street, Burlington, NC 27215 |
| Massachusetts Corporations | LABORATORY CORPORATION OF AMERICA | 231 Maple Avenue, Burlington, NC 27215 |
| Virginia Business Entities | Laboratory Corporation of America | 358 S Main St, Burlington, North Carolina 27215-5837 |
| Vermont Business Registrations | LABORATORY CORPORATION OF AMERICA | 231 Maple Avenue, Burlington, NC 27215 |
| Indiana Business Entities | LABORATORY CORPORATION OF AMERICA | 231 Maple Ave, Attn: Tax Dept, Burlington, NC 27216-2230 |
| Street Address |
925 E POLSTON AVE |
| City | POST FALLS |
| State | ID |
| Zip Code | 83854-9049 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093768707 | Leanne M Rousseau | Family Medicine | 925 E Polston Ave, Post Falls, ID 83854-9049 | 2006-05-17 |
| 1659842797 | Lindsey Nicole Page | Nurse Practitioner | 925 E Polston Ave, Post Falls, ID 83854-9049 | 2018-12-16 |
| 1982153235 | Calli Ford | Social Worker | 925 E Polston Ave, Post Falls, ID 83854-9049 | 2016-09-28 |
| 1841696952 | Dirne Health Centers, Inc. | Physician Assistant | 925 E Polston Ave, Post Falls, ID 83854-9049 | 2014-11-17 |
| 1699170688 | Tyson Thorpe | Physician Assistant | 925 E Polston Ave, Post Falls, ID 83854 | 2014-11-03 |
| 1952721011 | Vanessa Susan Wright | Family Medicine | 925 E Polston Ave, Post Falls, ID 83854-9049 | 2014-04-16 |
| 1003245044 | Michael Eugene Wigle | Nurse Practitioner | 925 E Polston Ave, Post Falls, ID 83854-9049 | 2013-11-08 |
| 1093960486 | Therapeutic Associates, Inc. | Clinic/Center | 925 E Polston Ave, Suite B, Post Falls, ID 83854-9049 | 2008-11-26 |
| 1477689198 | North Idaho Family Care | Family Medicine | 925 E Polston Ave, Post Falls, ID 83854-9049 | 2007-02-26 |
| 1023182920 | Sports Medicine Services Inc | Physical Therapist | 925 E Polston Ave, Post Falls, ID 83854-9049 | 2006-11-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487264032 | Esteem Counseling, LLC | Counselor | 1404 North Marcasite Court, Post Falls, ID 83854 | 2020-08-07 |
| 1497376685 | Teresa Marie Ragan | Registered Nurse | 1551 E Mullan Ave Bldg A, Ste 200b, Post Falls, ID 83854 | 2020-04-29 |
| 1245792910 | Samantha Patricia Bourassa | Specialist/Technologist | 2832 E Poleline Ave, Post Falls, ID 83854 | 2019-04-02 |
| 1003392598 | Joshua Welz | Psychologist | 3211 N Guinness Ln Apt 201, Post Falls, ID 83854 | 2018-07-17 |
| 1639608094 | Anthony Leodis Walls Jr. | Specialist/Technologist | 8732 N Meyer Rd, Post Falls, ID 83854 | 2017-06-08 |
| 1831635911 | Glenda Felts | Social Worker | 8561 N Cloverleaf Rd, # 22, Hauser, ID 83854 | 2017-01-12 |
| 1144763467 | Rachel M. Pope | Behavioral Analyst | 204 E 1st Ave Apt 4, Post Falls, ID 83854 | 2016-11-18 |
| 1871960393 | Randy Robinson | Massage Therapist | 2525 E Seltice Way Ste C, Post Falls, ID 83854 | 2015-09-01 |
| 1194112375 | James Bailey | Family Medicine | 185 W 4th Ave Ste B, Post Falls, ID 83854 | 2015-04-24 |
| 1033534953 | Lauren Tandy | Speech-Language Pathologist | 398 S. Corbin Rd., Post Falls, ID 83854 | 2014-02-28 |
| Find all providers in zip 83854 | ||||
| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740643550 | Laboratory Corporation of America | Clinical Medical Laboratory | 1641 E Polston Ave, Post Falls, ID 83854-6245 | 2016-03-30 |
| 1225285935 | Laboratory Corporation of America | Clinical Medical Laboratory | 750 N Syringa St, Ste 203c, Post Falls, ID 83854-5275 | 2008-08-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770183089 | Boise State University | Clinical Medical Laboratory | Bsu Science Bld Room 239 2133 W Cesar Chavez Ln, Boise, ID 83725-0001 | 2020-10-27 |
| 1730786328 | Idaho One Health Network, LLC | Clinical Medical Laboratory | 4455 S Meridian Rd, Meridian, ID 83642-6917 | 2020-10-06 |
| 1457984981 | Mini-cassia Misdemeanor | Clinical Medical Laboratory | 1359 Hansen Ave, Burley, ID 83318-1821 | 2020-02-12 |
| 1831743228 | Quest Diagnostics Clinical Laboratories Inc | Clinical Medical Laboratory | 215 E Hawaii Ave Ste B-100, Nampa, ID 83686-6011 | 2019-07-24 |
| 1801390521 | Local Lab LLC | Clinical Medical Laboratory | 8382 N Wayne Dr Ste 201, Hayden, ID 83835-6028 | 2018-03-19 |
| 1326553421 | The Local Lab, LLC | Clinical Medical Laboratory | 8382 N Wayne Dr Ste 103, Hayden, ID 83835-6028 | 2017-12-11 |
| 1457722092 | Bear Tooth Laboratory, LLC | Clinical Medical Laboratory | 1125 E Pine Ave, Ste B, Meridian, ID 83642-5955 | 2015-10-08 |
| 1730550377 | Landbank Laboratories, LLC | Clinical Medical Laboratory | 1020 Land Bank St, Suite B, Idaho Falls, ID 83402-1809 | 2015-10-08 |
| 1629486311 | Julia Anne Sanford Biggerstaff | Clinical Medical Laboratory | 4355 W Emerald St, Suite 140, Boise, ID 83706-2050 | 2014-07-26 |
| 1194150003 | Absolute Drug Testing, LLC | Clinical Medical Laboratory | 5433 N Government Way, Suite B, Coeur D Alene, ID 83815-9259 | 2013-09-10 |
| Find all providers with the same taxonomy | ||||
| City | POST FALLS |
| Zip Code | 83854 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.