| NPI |
1659750347 |
The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number. |
| Entity Type Code |
2 |
Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual
human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO). |
| Employer Identification Number EIN |
|
The Employer Identification Number (EIN), assigned by the IRS, of the provider being identified. |
| Provider Organization Name Legal Business Name |
LABORATORY CORPORATION OF AMERICA HOLDINGS |
The name of the organization provider. If the provider is an organization, this is the legal business name. |
| Provider First Line Business Practice Location Address |
8331 BANDFORD WAY |
Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual
human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO). |
| Provider Second Line Business Practice Location Address |
SUITE 101 |
The last name of the provider. If the provider is an individual, this is the legal name. |
| Provider Business Practice Location Address City Name |
RALEIGH |
The first name of the provider, if the provider
is an individual. |
| Provider Business Practice Location Address State Name |
NC |
The middle name of the provider, if the provider
is an individual. |
| Provider Business Practice Location Address Postal Code |
276152770 |
The name prefix or salutation of the provider
if the provider is an individual; for example, Mr., Mrs., or Corporal. |
| Provider Business Practice Location Address Country Code If outside U S |
US |
The abbreviations for professional degrees or credentials used or held by the provider,
if the provider is an individual. Examples
are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations
will not be verified by NPS. |
| Provider Business Practice Location Address Telephone Number |
9198478071 |
The telephone number associated with the location address of the provider being identified. |
| Provider Enumeration Date |
5/27/2015 |
The date the provider was assigned a unique identifier (assigned an NPI). |
| Last Update Date |
5/27/2015 |
The date that a record was last updated or changed. |
| Authorized Official Last Name |
WILLIAMS |
The last name of the person authorized to submit the NPI application or to change NPS data for a health care provider. |
| Authorized Official First Name |
KIMBERLY |
The first name of the authorized official. |
| Authorized Official Title or Position |
VICE PRESIDENT |
The title or position of the authorized official. |
| Authorized Official Telephone Number |
8002227566 |
The 10-position telephone number of the authorized official. |
| Healthcare Provider Taxonomy Code 1 |
291U00000X |
Code designating the provider type, classification,
and specialization. Codes are from the Healthcare Provider Taxonomy code list. The NPS will associate these data with the license data for providers with Entity type code = 1. |
| Healthcare Provider Primary Taxonomy Switch 1 |
Y |
The date that a record was last updated or changed. |
| Other Provider Identifier 1 |
34D2096087 |
The code designating the provider’s gender if the provider is a person. |
| Other Provider Identifier Type Code 1 |
01 |
Code indicating the type of identifier currently
or formerly used by the provider being identified. The codes may reflect UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers. This data element will be captured from the NPI application/update form. |
| Other Provider Identifier Issuer 1 |
CLIA |
|
| Is Organization Subpart |
N |
The code representing the State that issued the license to the provider being identified. This field can accommodate multiple States. It is associated with ‘‘provider license number. |