LABORATORY CORPORATION OF AMERICA (NPI# 1144717331) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144717331 |
| Entity Type | Organization |
| Organization Name | LABORATORY CORPORATION OF AMERICA |
| Practice Address |
1120 W Rose St Walla Walla WA 99362 |
| Mailing Address |
Po Box 2240 Burlington NC 27216-2240 |
| Practice Telephone | 5095245387 |
| Enumeration Date | 2018-04-13 |
| Last Update Date | 2020-02-20 |
| 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 | 50D1052688 | 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 |
1120 W ROSE ST |
| City | WALLA WALLA |
| State | WA |
| Zip Code | 99362 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497732127 | Benjamin Rodriguez | Internal Medicine | 1120 W Rose St, Walla Walla, WA 99362-1662 | 2005-12-22 |
| 1699305185 | Amanda Burks | Physician Assistant | 1120 W Rose St, Walla Walla, WA 99362-1662 | 2020-01-23 |
| 1245882042 | Kathryn Leigh Anderson | Dietitian, Registered | 1120 W Rose St, Walla Walla, WA 99362-1662 | 2019-07-11 |
| 1700438793 | Tanner Dahl | Dentist | 1120 W Rose St, Walla Walla, WA 99362-1662 | 2019-07-10 |
| 1104487115 | Nicole Moseley-wiilliams | Dietitian, Registered | 1120 W Rose St, Walla Walla, WA 99362-1662 | 2019-06-21 |
| 1396230470 | Kara Lynn Breymeyer | Dietitian, Registered | 1120 W Rose St, Walla Walla, WA 99362-1662 | 2018-06-29 |
| 1679010227 | Adrienne Hernandez | Dietitian, Registered | 1120 W Rose St, Walla Walla, WA 99362-1662 | 2017-01-20 |
| 1407204811 | Benjamin Nichols | Physician Assistant | 1120 W Rose St, Walla Walla, WA 99362-1662 | 2016-05-25 |
| 1023474624 | Susan Laabs | Registered Nurse | 1120 W Rose St, Walla Walla, WA 99362-1662 | 2016-01-12 |
| 1619353968 | Heather Dimock | Physician Assistant | 1120 W Rose St, Walla Walla, WA 99362-1662 | 2015-08-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164065959 | Kevin Gia-minh Phan | Optometrist | Walla Walla Vamc Bldg 86, Walla Walla, WA 99362 | 2019-10-24 |
| 1659836401 | Arlene Lavonne Whitney | Social Worker | 1361 Dalles Military Road, Walla Walla, WA 99362 | 2019-02-06 |
| 1053880674 | Julie Ann Cooke | Speech-Language Pathologist | Providence St. Mary Medical Center, 401 W. Poplar St., Walla Walla, WA 99362 | 2018-11-14 |
| 1558887133 | Chantey Walker | Massage Therapist | 1840 Pleasant St, Walla Walla, WA 99362 | 2017-08-16 |
| 1447798723 | Carrie S Diede | Speech-Language Pathologist | 410 West Poplar Street, Rehabilitation Services, Walla Walla, WA 99362 | 2017-02-07 |
| 1235584103 | Anchor Point Counseling Pllc | Clinic/Center | 2330 Eastgate St. Ste. 140, Walla Walla, WA 99362 | 2016-04-28 |
| 1548627011 | Washington State Walla Walla Veterans Home | Skilled Nursing Facility | 92 Wainwright Drive, Walla Walla, WA 99362 | 2016-01-28 |
| 1073926200 | Sherry Goff | Registered Nurse | 11120 W Rose St, Family Medical Center, Walla Walla, WA 99362 | 2014-06-05 |
| 1538597935 | Michael Wade Gillespie | Orthopaedic Surgery | 101 Brookside Drive, Walla Walla, WA 99362 | 2013-10-22 |
| 1023357985 | Sandra Kay Bushnell | Speech-Language Pathologist | 1105 Isaacs Ave, Walla Walla, WA 99362 | 2013-02-12 |
| Find all providers in zip 99362 | ||||
| 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 |
|---|---|---|---|---|
| 1316433527 | Providence Health & Services - Washington | Clinical Medical Laboratory | 1025 S 2nd Ave, Walla Walla, WA 99362-4116 | 2018-07-11 |
| 1225215742 | Davis Sameh Meeker Laboratories Ps | Clinical Medical Laboratory | 320 W Willow St, Walla Walla, WA 99362-2922 | 2008-01-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922612969 | Zain Medical Center | Clinical Medical Laboratory | 2630 N Columbia Center Blvd Ste B, Richland, WA 99352-4853 | 2020-09-08 |
| 1619580891 | Altius Institute for Biomedical Sciences | Clinical Medical Laboratory | 2211 Elliott Ave Ste 103, Seattle, WA 98121-3622 | 2020-08-26 |
| 1053920124 | Aark Laboratory | Clinical Medical Laboratory | 12709 E Mirabeau Pkwy Bldg A Ste 500, Spokane, WA 99216 | 2020-07-24 |
| 1154949733 | Washington State University | Clinical Medical Laboratory | Bustad Hall Room 155n, Pullman, WA 99164-0001 | 2020-07-09 |
| 1083234504 | Yosmara Villazon | Clinical Medical Laboratory | 9321 220th St Sw, Edmonds, WA 98020-4551 | 2020-04-24 |
| 1922653203 | Laboratory Corporation of America | Clinical Medical Laboratory | 314 S 11th Ave Suite A, Yakima, WA 98902 | 2019-08-05 |
| 1215598727 | New Life Lab Services LLC | Clinical Medical Laboratory | 5019 Grove St Ste 103b, Marysville, WA 98270-4487 | 2019-06-25 |
| 1356906713 | Actx, Inc. | Clinical Medical Laboratory | 2101 4th Ave Ste 1180, Seattle, WA 98121-2318 | 2019-05-01 |
| 1851850218 | Advantage Dx Inc | Clinical Medical Laboratory | 1801 W Broadway Ave, Spokane, WA 99201-1819 | 2019-03-15 |
| 1295294973 | Ubmhc1, LLC | Clinical Medical Laboratory | 18110 Southeast 34th St, Building 2, Suite 240, Vancouver, WA 98683 | 2019-03-13 |
| Find all providers with the same taxonomy | ||||
| City | WALLA WALLA |
| Zip Code | 99362 |
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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.