Laboratory Corporation Of America
Clinical Medical Laboratory in Fairbanks, AK. Organization (NPI-2).
NPI number1669925012
StatusActive
Last updated in NPPESAug 2, 2016
Details
- NPI
- 1669925012
- Entity type
- Organization (NPI-2)
- Legal business name
- Laboratory Corporation Of America
- Organization subpart
- No
- Enumeration date
- Aug 2, 2016
- Last updated
- Aug 2, 2016
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PART B SUPPLIER - INDEPENDENT CLINICAL LABORATORY
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 291U00000X | Clinical Medical Laboratory | – | – | Yes |
Practice location
1626 30th AveFairbanks, AK 99701-7466
Phone 907-479-0332
Mailing address
Po Box 2240Burlington, NC 27216-2240
Authorized official
Kimberly T Williams
Vice President
8002227566
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