LABORATORY CORPORATION OF AMERICA HOLDINGS (NPI# 1336517507) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336517507 |
| Entity Type | Organization |
| Organization Name | LABORATORY CORPORATION OF AMERICA HOLDINGS |
| Practice Address |
1307 Avon St Fayetteville NC 28304-4423 |
| Mailing Address |
Po Box 2240 Burlington NC 27216-2240 |
| Practice Telephone | 9106779801 |
| Enumeration Date | 2015-09-04 |
| Last Update Date | 2015-09-04 |
| Authorized Official Name | KIMBERLY 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 | 34D2100163 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437756525 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 109 Bridge St Ste 101, Danville, VA 24541-1222 | 2020-10-02 |
| 1295341006 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 125 Queens Rd Ste 370, Charlotte, NC 28204-3215 | 2020-09-17 |
| 1164049086 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 4950 Essen Ln Fl 5, Baton Rouge, LA 70809-3738 | 2020-06-26 |
| 1730706789 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 2600 Tower Dr Ste 103, Monroe, LA 71201-5783 | 2020-06-25 |
| 1245856434 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 5000 Odonavan Blvd Ste A, Walker, LA 70785-6351 | 2020-06-23 |
| 1992321178 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 2647 S Saint Elizabeth Blvd Ste 300a, Gonzales, LA 70737-5017 | 2020-06-23 |
| 1245856624 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 12525 Perkins Rd Ste C, Baton Rouge, LA 70810-1907 | 2020-06-22 |
| 1164048740 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 8415 Goodwood Blvd Ste 103, Baton Rouge, LA 70806-7851 | 2020-06-19 |
| 1184264426 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 120 B Carter Ave, Blackshear, GA 31516-1561 | 2020-01-15 |
| 1649818006 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 1290 Summer St Ste 5100, Stamford, CT 06905-5339 | 2019-12-17 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Laboratory Corporation of America Holdings | 531 South Spring Street, Burlington, North Carolina 27215 |
| New York State Corporations | LABORATORY CORPORATION OF AMERICA HOLDINGS | 80 State Street, Albany, New York 12207-2543 |
| Oregon Corporations, Companies and Business Names | LABORATORY CORPORATION OF AMERICA HOLDINGS | 358 South Spring Street, Burlington, NC 27215 |
| Colorado Business Entities | LABORATORY CORPORATION OF AMERICA HOLDINGS | 358 South Spring Street, Burlington, NC 27215 |
| Iowa Business Entities | LABORATORY CORPORATION OF AMERICA HOLDINGS | 358 South Spring Street, Burlington, NC 27215 |
| Connecticut Business Registrations | LABORATORY CORPORATION OF AMERICA HOLDINGS | 231 Maple Avenue, Burlington, NC 27215 |
| North Carolina Corporations | Laboratory Corporation of America Holdings | 2626 Glenwood Avenue Suite 550, Raleigh, NC 27608 |
| Vermont Business Registrations | LABORATORY CORPORATION OF AMERICA HOLDINGS | 231 Maple Ave, Burlington, NC 27215 |
| Indiana Business Entities | LABORATORY CORPORATION OF AMERICA HOLDINGS | 1 N. Capitol Ave., Indianapolis, IN 46204 |
| Washington State Corporations | LABORATORY CORPORATION OF AMERICA HOLDINGS | 358 S Spring St, Burlington, NC 27215 |
| Street Address |
1307 AVON ST |
| City | FAYETTEVILLE |
| State | NC |
| Zip Code | 28304-4423 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073518536 | Fayetteville Family Medical Care, Pa | Family Medicine | 1307 Avon St, Fayetteville, NC 28304-4423 | 2005-06-20 |
| 1619490679 | Erika Rae Mcclain | Pharmacist | 1307 Avon St, Fayetteville, NC 28304-4423 | 2017-07-21 |
| 1548704042 | Cumberland County Hospital System Inc | Family Medicine | 1307 Avon St, Fayetteville, NC 28304-4423 | 2016-12-19 |
| 1558789735 | Jennifer Overby Hall | Physician Assistant | 1307 Avon St, Fayetteville, NC 28304-4423 | 2014-04-03 |
| 1265707228 | Fayetteville Family Medical Care, Pa | Pharmacy | 1307 Avon St, Fayetteville, NC 28304-4423 | 2012-03-09 |
| 1154643898 | Sarah Allen Fazekas | Nurse Practitioner | 1307 Avon St, Fayetteville, NC 28304-4423 | 2010-02-22 |
| 1184679284 | Joshua A. Trujillo | Family Medicine | 1307 Avon St, Fayetteville, NC 28304-4423 | 2006-05-24 |
| 1447240072 | Sharon S Mitchell | Family Medicine | 1307 Avon St, Fayetteville, NC 28304-4423 | 2005-10-25 |
| 1316937972 | Brian K Fleming | Family Medicine | 1307 Avon St, Fayetteville, NC 28304-4423 | 2005-10-25 |
| 1841280401 | Carolyn M Sampson | Family Medicine | 1307 Avon St, Fayetteville, NC 28304-4423 | 2005-10-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598301061 | Coast To Coast Bilingual Counseling | Social Worker | 910 Hope Mills Road, Fayetteville, NC 28304 | 2019-11-20 |
| 1811530561 | Frances L. Hurst | Technician | 6732 Carloway Dr, Fayetteville, NC 28304 | 2019-10-25 |
| 1538717764 | Rose Mary A O'conner | Technician | 3530 Madison Ave, Fayetteville, NC 28304 | 2019-08-30 |
| 1932756087 | Sally Frances Jones | Technician | 2053 Mango Circle, Fayetteville, NC 28304 | 2019-08-23 |
| 1326528803 | Jeneen Yvette Townsend | Counselor | 2671 Adams Lake Dr Apt F, Fayetteville, NC 28304 | 2018-08-15 |
| 1780179580 | Ma Cornelia Villavicencio Leano | Nurse Practitioner | 3081 Stone Carriage Cir Apt Z, Fayetteville, NC 28304 | 2018-06-25 |
| 1861986267 | Pediatric After Hours Care of Fayetteville | Pediatrics | 556 Sandhurst Drive, Fayetteville, NC 28304 | 2018-06-19 |
| 1700386133 | Good Night Medical of Ohio, LLC | Durable Medical Equipment & Medical Supplies | 405 Owen Dr Ste 202, Fayetteville, NC 28304 | 2018-02-12 |
| 1003321365 | Valleygate Dental Surgery Center of Fayetteville, LLC | Dentist | 2038 Litho Place, Fayetteville, NC 28304 | 2017-12-08 |
| 1871004663 | The Salt Project | Marriage & Family Therapist | 1611-b Owen Dr., Fayetteville, NC 28304 | 2017-10-19 |
| Find all providers in zip 28304 | ||||
| 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 |
|---|---|---|---|---|
| 1275001851 | Cquentia Arkansas Lab LLC | Clinical Medical Laboratory | 112 W Center St Ste 504, Fayetteville, AR 72701-6073 | 2018-11-13 |
| 1619349107 | Living Well Behavioral Health Lab | Clinical Medical Laboratory | 2350 Bentridge Ln Ste 301a, Fayetteville, NC 28304-0590 | 2015-10-23 |
| 1962899989 | Ancillary Innovations | Clinical Medical Laboratory | 1792 E Joyce Blvd Ste 3, Fayetteville, AR 72703-5255 | 2015-04-16 |
| 1932404274 | Kaiser Permanente | Clinical Medical Laboratory | 101 Banks Sta, Fayetteville, GA 30214-7507 | 2011-01-18 |
| 1124646013 | Namida Lab Inc. | Clinical Medical Laboratory | 1905 E Mission Blvd Ste 6, Fayetteville, AR 72703-3129 | 2020-07-08 |
| 1053850206 | Bluewest/lab LLC | Clinical Medical Laboratory | 1076 Stamper Rd, Fayetteville, NC 28303-4191 | 2017-02-21 |
| 1356889950 | Cumberland County Health System Inc | Clinical Medical Laboratory | 1638 Owen Dr, Fayetteville, NC 28304-3424 | 2017-02-03 |
| 1063802718 | Carolina Outreach, LLC | Clinical Medical Laboratory | 911 Hay St, Fayetteville, NC 28305-5313 | 2015-02-03 |
| 1790184760 | Arkansas Medical Imaging Jv LLC | Clinical Medical Laboratory | 361 E Millsap Rd, Fayetteville, AR 72703-6289 | 2014-08-15 |
| 1669800165 | Lab One LLC | Clinical Medical Laboratory | 3215 N Northhills Blvd, Ste B, Fayetteville, AR 72703-4424 | 2013-10-17 |
| Find all providers in FAYETTEVILLE | ||||
| City | FAYETTEVILLE |
| Zip Code | 28304 |
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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.