LABORATORY CORPORATION OF AMERICA (NPI# 1902443328) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902443328 |
| Entity Type | Organization |
| Organization Name | LABORATORY CORPORATION OF AMERICA |
| Practice Address |
3702 S State St Ste 107 Salt Lake City UT 84115-5096 |
| Mailing Address |
Po Box 2240 Burlington NC 27216-2240 |
| Practice Telephone | 3216547890 |
| Enumeration Date | 2019-12-04 |
| Last Update Date | 2019-12-04 |
| Authorized Official Name | KIMBERLY T WILLIAMS (VP) |
| 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 | 46D2174313 | 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 |
3702 S STATE ST STE 107 |
| City | SALT LAKE CITY |
| State | UT |
| Zip Code | 84115-5096 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801824438 | Sey M Lau | Internal Medicine | 3702 S State St Ste 107, Salt Lake City, UT 84115-5096 | 2006-06-30 |
| 1639799737 | Quest Diagnostics Clinical Laboratories Inc | Clinical Medical Laboratory | 3702 S State St Ste 107, Salt Lake City, UT 84115-5096 | 2020-04-20 |
| 1952936668 | Mary-virginia Hye-jin Parker | Nurse Practitioner | 3702 S State St Ste 107, Salt Lake City, UT 84115-5096 | 2020-03-03 |
| 1871127050 | Yu Cheng | Nurse Practitioner | 3702 S State St Ste 107, Salt Lake City, UT 84115-5096 | 2020-02-26 |
| 1598319642 | Cody Lee Bach | Nurse Practitioner | 3702 S State St Ste 107, Salt Lake City, UT 84115-5096 | 2019-07-26 |
| 1639692510 | Trenton D Gray | Nurse Practitioner | 3702 S State St Ste 107, Salt Lake City, UT 84115-5096 | 2017-07-21 |
| 1720438633 | April Conlon | Nurse Practitioner | 3702 S State St Ste 107, Salt Lake City, UT 84115-5096 | 2016-06-21 |
| 1750473948 | Nephrology Associates of Utah LLC | Internal Medicine | 3702 S State St Ste 107, Salt Lake City, UT 84115-5096 | 2006-09-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396344198 | Shannon Ballinger | Clinic/Center | 1470 400 W, Salt Lake City, UT 84115 | 2020-10-22 |
| 1992346704 | Anicka Inc | Clinic/Center | 3195 South Main St, Ste 260, South Salt Lake, UT 84115 | 2019-10-02 |
| 1083177505 | Vitor Gabriel Giuliani Alcantara Carioca | Specialist/Technologist | 1850 South Campus Drive, Salt Lake City, UT 84115 | 2019-04-11 |
| 1427528371 | Samuel James Leonhart | Behavior Technician | 354 East Coatsville Drive, Salt Lake City, UT 84115 | 2018-12-04 |
| 1093228645 | Eco Pharmacy LLC | Pharmacy | 3702 S State Street Suite 115, South Salt Lake City, UT 84115 | 2017-11-06 |
| 1568973055 | Eco Apothecary LLC | Pharmacy | 3701 S State Street Suite 114, South Salt Lake City, UT 84115 | 2017-10-24 |
| 1548780455 | Kelly Lund | Case Manager/Care Coordinator | 447 W. Bearcat Dr., Salt Lake City, UT 84115 | 2017-06-21 |
| 1104271238 | The Church of Philadelphia Inc. | Community/Behavioral Health | 2358 South Main Street, Salt Lake City, UT 84115 | 2016-04-26 |
| 1710368626 | Jennifer Swanhild Edwards | Counselor | 140 W 2100 S Ste 244, Salt Lake City, UT 84115 | 2015-06-16 |
| 1508247065 | John Mcguire | Health Educator | 1370 S. West Temple, Salt Lake City, UT 84115 | 2015-06-10 |
| Find all providers in zip 84115 | ||||
| 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 |
|---|---|---|---|---|
| 1063033249 | Arches Research, Inc. | Clinical Medical Laboratory | 1960 S 4250 W, Salt Lake City, UT 84104-4836 | 2020-04-29 |
| 1750915658 | Idbydna Inc. | Clinical Medical Laboratory | 675 S Arapeen Dr Ste 301, Salt Lake City, UT 84108-1223 | 2020-02-28 |
| 1700420361 | Renalytix Ai, Inc. | Clinical Medical Laboratory | 421 S Wakara Way Ste 309, Salt Lake City, UT 84108-3549 | 2019-11-06 |
| 1154884575 | Heredilab, Inc | Clinical Medical Laboratory | 1060 E 100 S Ste 109, Salt Lake City, UT 84102-4303 | 2019-04-11 |
| 1760965719 | Valleylab | Clinical Medical Laboratory | 4460 S Highland Dr Ste 110, Salt Lake City, UT 84124-3550 | 2018-09-14 |
| 1205323300 | Laboratory Corporation of America | Clinical Medical Laboratory | 1160 E 3900 S Ste 1200, Salt Lake City, UT 84124-1251 | 2018-04-16 |
| 1154855690 | Navican Genomics Inc. | Clinical Medical Laboratory | 341 S Main St Ste 200, Salt Lake City, UT 84111-3463 | 2017-04-11 |
| 1679948756 | Crossroads Laboratory, LLC | Clinical Medical Laboratory | 6337 S Highland Dr Ste 110, Salt Lake City, UT 84121-2107 | 2015-12-01 |
| 1508125196 | Ethigen, LLC | Clinical Medical Laboratory | 1904 Michigan Ave, Salt Lake City, UT 84108-1324 | 2012-05-16 |
| 1699041723 | Omega Wellness Institute, LLC | Clinical Medical Laboratory | 770 E South Temple Ste 100, Salt Lake City, UT 84102-1689 | 2012-03-22 |
| Find all providers in SALT LAKE CITY | ||||
| City | SALT LAKE CITY |
| Zip Code | 84115 |
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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.