LABORATORY CORPORATION OF AMERICA (NPI# 1104438274) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104438274 |
| Entity Type | Organization |
| Organization Name | LABORATORY CORPORATION OF AMERICA |
| Practice Address |
135 Ne 102nd Ave Portland OR 97220-4167 |
| Mailing Address |
Po Box 2240 Burlington NC 27216-2240 |
| Practice Telephone | 5034818962 |
| Enumeration Date | 2020-08-20 |
| Last Update Date | 2020-08-20 |
| Authorized Official Name | KIMBERLY T WILLIAMS (VICE PRESIDENT) |
| Authorized Official Telephone | 3364365761 |
| 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 | 38D2187699 | 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 |
135 NE 102ND AVE |
| City | PORTLAND |
| State | OR |
| Zip Code | 97220-4167 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922089580 | Todd Michael Rosborough | Physician Assistant | 135 Ne 102nd Ave, Portland, OR 97220-4167 | 2005-11-10 |
| 1184246134 | Yakima Valley Farm Workers Clinic | Family Medicine | 135 Ne 102nd Ave, Portland, OR 97220-4167 | 2020-05-13 |
| 1720489297 | Trung Phu Chung | Physician Assistant | 135 Ne 102nd Ave, Portland, OR 97220-4167 | 2014-09-15 |
| 1417217894 | Rose City Medical LLC | Clinic/Center | 135 Ne 102nd Ave, Portland, OR 97220-4167 | 2012-05-20 |
| 1972872646 | Jennifer Jablin | Nurse Practitioner | 135 Ne 102nd Ave, Portland, OR 97220-4167 | 2011-12-23 |
| 1700017167 | Gay Wong | Nurse Practitioner | 135 Ne 102nd Ave, Portland, OR 97220-4167 | 2009-08-04 |
| 1700833217 | Vee S Yoong | Physician Assistant | 135 Ne 102nd Ave, Portland, OR 97220-4167 | 2006-05-28 |
| 1518941525 | Timothy J Treible Md PC | Orthopaedic Surgery | 135 Ne 102nd Ave, Portland, OR 97220-4167 | 2005-12-02 |
| 1669454997 | Timothy James Treible | Orthopaedic Surgery | 135 Ne 102nd Ave, Portland, OR 97220-4167 | 2005-11-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316569254 | Debra Shamblin | Behavioral Analyst | 150 Ne 100th Ave, Portland, OR 97220 | 2020-05-14 |
| 1336780618 | Joan Lambert | Technician | 2802 Ne 108th Avenue, Portland, OR 97220 | 2019-10-08 |
| 1750933917 | Multnomah County | Clinic/Center | 11540 Ne Inverness Dr., Inverness Jail, Portland, OR 97220 | 2019-07-09 |
| 1194223107 | Landmark Connect of Oregon PC | General Practice | 5933 Ne Win Sivers Dr Ste 310, Portland, OR 97220 | 2018-01-24 |
| 1487178711 | Andrew Shonk | Massage Therapist | 163 Ne 102nd Ave Blid V, Portland, OR 97220 | 2017-07-28 |
| 1548781693 | Greater New Hope Family Services | Lodging | 11868 Ne Sandy Blvd, Portland, OR 97220 | 2017-06-29 |
| 1245771740 | Maria Teresa Banez Salcedo | Registered Nurse | 10300 Ne Hancock Street, Portland, OR 97220 | 2017-03-16 |
| 1568901858 | Christopher Gabriel Lyons | Adult Companion | 1343 Ne 118 Ave. Apt5, Portland, OR 97220 | 2017-02-20 |
| 1962945956 | Linda Ann Oldenburg | Registered Nurse | 9515 Ne Skidmore Avenue, Portland, OR 97220 | 2016-11-23 |
| 1326493446 | Trent D. Wilson | Massage Therapist | 8401 Ne Halsey St., Suite 101, Portland, OR 97220 | 2016-04-26 |
| Find all providers in zip 97220 | ||||
| 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 |
|---|---|---|---|---|
| 1649881483 | True Diagnostics | Clinical Medical Laboratory | 1122 Ne 122nd Ave Ste B-102, Portland, OR 97230-2081 | 2020-08-14 |
| 1497363543 | Laboratory Corporation of America | Clinical Medical Laboratory | 4212 Ne Broadway Rm L100, Portland, OR 97213-1422 | 2020-07-15 |
| 1568927903 | Alerra, LLC | Clinical Medical Laboratory | 618 Nw 12th Ave Apt 412, Portland, OR 97209-3031 | 2019-02-08 |
| 1861937237 | Malachai Investments LLC | Clinical Medical Laboratory | 10,000 Se Main St, Ste 360, Portland, OR 97216 | 2016-12-21 |
| 1346559168 | Metwest Inc | Clinical Medical Laboratory | 10535 Ne Glisan St Ste 100, Portland, OR 97220-4076 | 2010-09-28 |
| 1649428285 | Holter Labs | Clinical Medical Laboratory | 7327 Sw Barnes Rd, Portland, OR 97225-6119 | 2008-09-08 |
| 1861617680 | Kashi Clinical Laboratories Inc | Clinical Medical Laboratory | 10101 Sw Barbur Blvd. Suite 200, Portland, OR 97219-5915 | 2007-04-16 |
| 1740306935 | Nunm Laboratory | Clinical Medical Laboratory | 3025 Sw Corbett Street, Portland, OR 97201 | 2007-03-21 |
| 1154454718 | Portland Tissue Processing Laboratory, Inc. | Clinical Medical Laboratory | 5012 Ne 42nd Ave, Portland, OR 97218-1504 | 2007-03-13 |
| 1144399304 | Reproductive Medicine Laboratory | Clinical Medical Laboratory | 2222 Nw Lovejoy St Ste 304, Portland, OR 97210-5100 | 2006-11-06 |
| Find all providers in PORTLAND | ||||
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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.