LABORATORY CORPORATION OF AMERICA HOLDINGS (NPI# 1104115500) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104115500 |
| Entity Type | Organization |
| Organization Name | LABORATORY CORPORATION OF AMERICA HOLDINGS |
| Practice Address |
9097 Collinsville Rd Collinsville MS 39325-9779 |
| Mailing Address |
Po Box 2240 Burlington NC 27216-2240 |
| Practice Telephone | 6016260322 |
| Mailing Telephone | 8002227566 |
| Mailing Fax Number | 3364361048 |
| Enumeration Date | 2011-04-06 |
| Last Update Date | 2013-11-25 |
| Authorized Official Name | KIMBERLY WILLIAMS (VP) |
| 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 | 25D2021672 | 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 |
9097 COLLINSVILLE RD |
| City | COLLINSVILLE |
| State | MS |
| Zip Code | 39325-9779 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346222890 | Edward Daniel Henderson Jr. | Family Medicine | 9097 Collinsville Rd, Collinsville, MS 39325-9779 | 2005-11-18 |
| 1689096505 | Wendy D Gressett | Nurse Practitioner | 9097 Collinsville Rd, Collinsville, MS 39325-9779 | 2014-01-11 |
| 1073959375 | Laird Hospital, Inc | Family Medicine | 9097 Collinsville Rd, Collinsville, MS 39325-9779 | 2013-05-14 |
| 1578796462 | Rush Care, Inc. | Clinic/Center | 9097 Collinsville Rd, Collinsville, MS 39325-9779 | 2009-08-26 |
| 1245213354 | Gloria J. Jackson | Nurse Practitioner | 9097 Collinsville Rd, Collinsville, MS 39325-9779 | 2005-11-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033609409 | Anna Victoria Stewart | Speech-Language Pathologist | 11790 Pine Grove Rd, Collinsville, MS 39325 | 2018-05-11 |
| 1083160782 | Chandra Sumlin-brown Dba Sumlin Behavioral Services | Psychiatric Hospital | 8237b Okatibbee Dam Road, Collinsville, MS 39325 | 2016-09-01 |
| 1982948980 | Lisa Wiliams | Registered Nurse | 8237 A Okatibbee Dam Rd, Collinsville, MS 39325 | 2012-11-15 |
| 1770883688 | Collinsville Family Dental | Dentist | 9171 A, Old Hwy 19n, Collinsville, MS 39325 | 2010-10-26 |
| 1942550280 | Adam Turbyfill | Pharmacist | 9155 Hwy 19, Collinsville, MS 39325-0175 | 2012-09-13 |
| 1811001878 | Collinsville Drugs Inc | Pharmacy | 9158 Hwy 19, Collinsville, MS 39325-0175 | 2006-08-18 |
| 1184238396 | Veronica Necole Mcfadden | Student in an Organized Health Care Education/Training Program | 8583 Wilsondale Rd, Collinsville, MS 39325-8957 | 2020-09-04 |
| 1659688422 | Oya Weston Hampton | Counselor | 9056b Collinsville Rd, Collinsville, MS 39325-9100 | 2010-09-01 |
| 1801997606 | Tammy N Henderson | General Practice | 9325c Highway 19 N, Collinsville, MS 39325-9219 | 2006-09-26 |
| 1477642791 | Kid's Clinic, Pllc | General Practice | 9325c Highway 19 N, Collinsville, MS 39325-9219 | 2006-10-12 |
| Find all providers in zip 39325 | ||||
| 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 |
|---|---|---|---|---|
| 1093879140 | Dcl Medical Laboratories, LLC | Clinical Medical Laboratory | 1616 East Port Plaza, Collinsville, IL 62234 | 2006-12-21 |
| 1801885504 | Health Ventures of Southern Illinois LLC | Clinical Medical Laboratory | 1 Regency Plaza Dr, Collinsville, IL 62234-6114 | 2005-10-17 |
| 1316225956 | Essential Testing, LLC | Clinical Medical Laboratory | 1616 Eastport Plaza Dr, Collinsville, IL 62234-6128 | 2011-08-01 |
| 1679887947 | Dcl Laboratories LLC | Clinical Medical Laboratory | 1616 Eastport Plaza Dr, Collinsville, IL 62234-6128 | 2010-07-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457952855 | Boston Labs, LLC | Clinical Medical Laboratory | 631 Lakeland East Dr Ste 203, Flowood, MS 39232-8815 | 2020-11-03 |
| 1023622305 | Molecular and Diagnostic Testing Labs of America | Clinical Medical Laboratory | 1529 Cliff Gookin Blvd, Tupelo, MS 38801-6401 | 2020-09-03 |
| 1134742505 | Temeka Denson | Clinical Medical Laboratory | 104 Meadow Hill Dr, Forest, MS 39074-3817 | 2020-05-20 |
| 1225675531 | Wellcare Labs, LLC | Clinical Medical Laboratory | 1270 28th St, Gulfport, MS 39501-6205 | 2019-12-05 |
| 1427615996 | Hometown Diagnostics | Clinical Medical Laboratory | Translational Research Center Tr311, 2500 North State Street, Jackson, MS 39216 | 2019-05-21 |
| 1457810137 | Dynamic Diagnostics LLC | Clinical Medical Laboratory | 10203 Highway 603, Bay St Louis, MS 39520-8711 | 2019-03-13 |
| 1134699945 | Executive Diagnostics LLC | Clinical Medical Laboratory | 5455 Executive Pl Ste B, Jackson, MS 39206-4104 | 2018-12-05 |
| 1699287300 | Metric Lab Services LLC | Clinical Medical Laboratory | 116 Marketridge Dr, Ridgeland, MS 39157-6009 | 2017-11-03 |
| 1336660786 | Vitas Laboratory LLC | Clinical Medical Laboratory | 2048 Pineville Road, Suite B, Long Beach, MS 39560 | 2017-07-06 |
| 1275073405 | Marvel Laboratories, LLC | Clinical Medical Laboratory | 805 W Park Ave, Suite 5a, Greenwood, MS 38930-2832 | 2017-03-07 |
| Find all providers with the same taxonomy | ||||
| City | COLLINSVILLE |
| Zip Code | 39325 |
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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.