LABORATORY CORPORTATION OF AMERICA HOLDINGS (NPI# 1992202741) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992202741 |
| Entity Type | Organization |
| Organization Name | LABORATORY CORPORTATION OF AMERICA HOLDINGS |
| Practice Address |
480 Honeysuckle Rd Dothan AL 36305-1156 |
| Mailing Address |
Po Box 2240 Burlington NC 27216-2240 |
| Practice Telephone | 3347926933 |
| Enumeration Date | 2018-04-09 |
| Last Update Date | 2018-04-09 |
| Authorized Official Name | KIMBERLY T WILLIAMS (VICE PRESIDENT) |
| Authorized Official Telephone | 3364365402 |
| 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 | 01D2144460 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427555226 | Laboratory Corportation of America Holdings | Clinical Medical Laboratory | 4300 W Main St Ste 102, Dothan, AL 36305-1306 | 2018-04-09 |
| 1316442478 | Laboratory Corportation of America Holdings | Clinical Medical Laboratory | 3400 W 66th St Ste 150, Edina, MN 55435-2109 | 2018-03-29 |
| 1194140293 | Laboratory Corportation of America Holdings | Clinical Medical Laboratory | 801 S Main St, Clinton, IN 47842-2261 | 2014-02-26 |
| Street Address |
480 HONEYSUCKLE RD |
| City | DOTHAN |
| State | AL |
| Zip Code | 36305-1156 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518922087 | Travis J Rutland | Internal Medicine | 480 Honeysuckle Rd, Dothan, AL 36305-1156 | 2006-04-19 |
| 1679941884 | Breeann Gilmore | Nurse Practitioner | 480 Honeysuckle Rd, Dothan, AL 36305-1156 | 2015-09-03 |
| 1992055883 | Nicholas Cody Mendheim | Nurse Practitioner | 480 Honeysuckle Rd, Dothan, AL 36305-1156 | 2012-09-18 |
| 1679835532 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 480 Honeysuckle Rd, Dothan, AL 36305-1156 | 2012-06-15 |
| 1689932022 | Gypsy Rain Glover | Nurse Practitioner | 480 Honeysuckle Rd, Dothan, AL 36305-1156 | 2012-04-23 |
| 1720352818 | Susan Elaine Broyles | Nurse Practitioner | 480 Honeysuckle Rd, Dothan, AL 36305-1156 | 2012-03-07 |
| 1790075950 | George Augustus Nelson Iv | Internal Medicine | 480 Honeysuckle Rd, Dothan, AL 36305-1156 | 2011-04-08 |
| 1396044426 | Amy Cole Ethridge | Nurse Practitioner | 480 Honeysuckle Rd, Dothan, AL 36305-1156 | 2011-03-15 |
| 1588981872 | Scott Andrew Sarrels | Internal Medicine | 480 Honeysuckle Rd, Dothan, AL 36305-1156 | 2010-04-26 |
| 1386769404 | Paul Brandon Lamb | Internal Medicine | 480 Honeysuckle Rd, Dothan, AL 36305-1156 | 2007-03-20 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962059998 | Samantha Nicole Bolden | Counselor | 1001 John D. Odom Road, Dothan, AL 36305 | 2019-08-23 |
| 1578968780 | Aba Therapy & Consulting Services | Behavioral Analyst | 3124 West Main Street, Suite 9, Dothan, AL 36305 | 2014-10-30 |
| 1306247796 | Tracey Lynn Carter | Registered Nurse | 4300 W Main St Ste 102, Dothan, AL 36305 | 2014-09-04 |
| 1760829881 | Michael Brent Nance | Nurse Practitioner | 4370 West Main Street, Dothan, AL 36305 | 2013-05-30 |
| 1033495221 | Professional Resource Management of Wiregrass, LLC | Psychiatry & Neurology | 2812 Hartford Hwy Ste 1, Dothan, AL 36305 | 2011-11-01 |
| 1649555483 | Ashley Dawn Morrow | Pharmacist | 2940 West Main Street, Dothan, AL 36305 | 2011-10-12 |
| 1740599273 | Aline M Mays-easley | Counselor | 309 Ameris Ave, Dothan, AL 36305 | 2010-10-01 |
| 1356671408 | Kimberly Jones Rogers | Clinical Neuropsychologist | 200 Grove Park Ln Ste 212, Dothan, AL 36305 | 2010-01-12 |
| 1639347818 | Southeast Alabama Counseling & Behavioral Specialist | Residential Treatment Facility, Emotionally Disturbed Children | 407 Honeysuckle Rd Ste 207, Dothan, AL 36305 | 2008-02-11 |
| 1770705667 | Michala Long | Pharmacist | 3850 West Main St, Dothan, AL 36305 | 2007-05-02 |
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| 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 |
|---|---|---|---|---|
| 1285612473 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 1034 Ross Clark Cir, Dothan, AL 36303-5485 | 2006-01-06 |
| 1427555226 | Laboratory Corportation of America Holdings | Clinical Medical Laboratory | 4300 W Main St Ste 102, Dothan, AL 36305-1306 | 2018-04-09 |
| 1679835532 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 480 Honeysuckle Rd, Dothan, AL 36305-1156 | 2012-06-15 |
| 1114161601 | Houston County Healthcare Authority | Clinical Medical Laboratory | 1108 Ross Clark Cir, Dothan, AL 36301-3022 | 2009-04-28 |
| 1710921416 | Triad of Alabama LLC | Clinical Medical Laboratory | 4370 W Main St, Dothan, AL 36305-1056 | 2006-06-15 |
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|---|---|---|---|---|
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| 1619574621 | Prestige Laboratory Services | Clinical Medical Laboratory | 857 Downtowner Blvd Ste H, Mobile, AL 36609-5420 | 2020-10-02 |
| 1740897123 | Labs Plus, LLC | Clinical Medical Laboratory | 2701 Mall Dr Ste 7204, Florence, AL 35630-7502 | 2020-09-29 |
| 1841800232 | Amh Staffing Agency | Clinical Medical Laboratory | 9925 County Road 63, Plantersville, AL 36758-2853 | 2020-07-31 |
| 1861012361 | Quest Diagnostics Clinical Laboratories Inc | Clinical Medical Laboratory | 129 Mitylene Park Lane, Montgomery, AL 36117-3758 | 2020-04-24 |
| 1407487465 | Golden Point Solutions LLC | Clinical Medical Laboratory | 411a Lorna Sq, Vestavia Hills, AL 35216-5418 | 2020-01-29 |
| 1386284156 | Magnolia Diagnostic Laboratories, LLC | Clinical Medical Laboratory | 2868 Acton Rd Ste 205, Vestavia, AL 35243-2502 | 2020-01-09 |
| 1780220863 | Sharon Masters | Clinical Medical Laboratory | 1930 Edwards Lake Rd Ste 138, Birmingham, AL 35235-3720 | 2019-11-23 |
| 1518518968 | Daniel Loper | Clinical Medical Laboratory | 3750 Moffett Rd, Mobile, AL 36618-1208 | 2019-09-26 |
| 1124676796 | Quest Diagnostics Clinical Laboratories Inc | Clinical Medical Laboratory | 1845 Cherry St Fl 2, Montgomery, AL 36107-2613 | 2019-08-27 |
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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.