LABORATORY CORPORATION OF AMERICA
NPI 1912587486
Clinical Medical Laboratory in East Moline, IL

NPI Status: Active since April 09, 2021

Contact Information

708 15TH AVE
EAST MOLINE, IL
ZIP 61244
Phone: (309) 751-4023

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  • Organization
  • Clinical Medical Laboratory
  • Accepts Insurance
  • CLIA Number: 14D2213996
  • CLIA Cert. Type: Independent
  • CLIA Exp. Date: 02-17-2027

About LABORATORY CORPORATION OF AMERICA

This page provides the complete NPI Profile along with additional information for Laboratory Corporation Of America, a provider established in East Moline, Illinois operating as a Clinical Medical Laboratory. The healthcare provider is registered in the NPI registry with number 1912587486 assigned on April 2021. The practitioner's primary taxonomy code is 291U00000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The authorized official of this NPI record is Kimberly T Williams (Vice President)

NPI
1912587486
Provider Name
LABORATORY CORPORATION OF AMERICA
Entity Type
Organization
Location Address
708 15TH AVE EAST MOLINE, IL 61244
Location Phone
(309) 751-4023
Mailing Address
PO BOX 2240 BURLINGTON, NC 27216
Mailing Phone
(336) 436-5884
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-09-2021
Last Update Date
06-25-2021
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Establishments like Laboratory Corporation Of America are healthcare facilities that may perform a wide range of laboratory procedures, assisted by doctors and medical technologists. Laboratories can be categorized according to their function as common diagnostic labs or specialty labs that conduct specialized or confirmatory tests. Different clinical laboratories could specialize in clinical chemistry, clinical microbiology, hematology, serology, clinical microscopy, cytopathology, molecular biology, or public health. Please inquire directly with this provider to confirm their test menu.

Clinical labs in the U.S. that perform human testing are regulated by the Centers for Medicare & Medicaid Services (CMS) through the Clinical Laboratory Improvement Amendments (CLIA) program. The purpose of the CLIA program is to guarantee the quality of laboratory testing. This provider has a CLIA number assigned, and undergoes regular inspections to ensure compliance and quality.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinical Medical Laboratory

Taxonomy Code
291U00000X
Type
Laboratories
Taxonomy Description
(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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Connect Bronze 0 Indiv Med Deductible - EPO
  • Connect Bronze 3500 Indiv Med Deductible Enhanced Diabetes Care - EPO
  • Connect Bronze 5500 Indiv Med Deductible - EPO
  • Connect Bronze 5500 Indiv Med Deductible - HMO
  • Connect Bronze 6000 Indiv Med Deductible - HMO
  • Connect Bronze 6500 Indiv Med Deductible - HMO
  • Connect Bronze 6500 Indiv Med Deductible Enhanced Diabetes Care - EPO
  • Connect Bronze 6500 Indiv Med Deductible Enhanced Diabetes Care - HMO
  • Connect Bronze 7500 Indiv Med Deductible - EPO
  • Connect Bronze 8500 Indiv Med Deductible - EPO
  • Connect Bronze 8500 Indiv Med Deductible - HMO
  • Connect Bronze CMS Standard - EPO
  • Connect Bronze CMS Standard - HMO
  • Connect Bronze DFW 6500 Indiv Med Deductible Enhanced Diabetes Care - HMO
  • Connect Gold 1000 Indiv Med Deductible - HMO
  • Connect Gold 2000 Indiv Med Deductible - EPO
  • Connect Gold 2500 Indiv Med Deductible Enhanced Diabetes Care - HMO
  • Connect Gold 3250 Indiv Med Deductible - HMO
  • Connect Gold 3500 Indiv Med Deductible - HMO
  • Connect Gold 800 Indiv Med Deductible - EPO
  • Connect Bronze 6800 Indiv Med Deductible - HMO
  • Connect Bronze 8900 Indiv Med Deductible - HMO
  • Connect Bronze CMS Standard - HMO
  • Connect Gold 2500 Indiv Med Deductible - HMO
  • Connect Gold CMS Standard - HMO
  • Connect Silver 4000 Indiv Med Deductible - HMO
  • Connect Silver 5000 Indiv Med Deductible - HMO
  • Connect Silver CMS Standard - HMO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

KIMBERLY T WILLIAMS

Authorized Official Title
VICE PRESIDENT
Authorized Official Phone
(800) 222-7566

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
14D2213996OTHER (01)CLIA

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
14D2213996
Facility Type
Independent
Certificate Effective Date
February 18, 2025
Certificate Expiration Date
February 17, 2027
Laboratory Director
KIMBERLY L. MILLER
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Laboratory Corporation Of America to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for LABORATORY CORPORATION OF AMERICA

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1912587486
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
292210814416
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 2 + 2 + 1 + 0 + 8 + 1 + 4 + 4 + 1 + 6 + 24 = 64
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 64 = 66

The NPI number 1912587486 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 5 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1477819886COMMUNITY HEALTH CARE, INC
Organization
Clinic/Center (Federally Qualified Health Center (FQHC))708 15TH AVE
EAST MOLINE, IL 61244
(563) 327-2015
1881046050DR. ANURADHA RANGANATH M.D.
Individual
Family Medicine708 15TH AVE
EAST MOLINE, IL 61244
(563) 336-3000
1992354799 MELISSA L KEITH DNP
Individual
Nurse Practitioner (Family)708 15TH AVE
EAST MOLINE, IL 61244
(563) 336-3000
1992586606QUEST DIAGNOSTICS LLC
Organization
Clinical Medical Laboratory708 15TH AVE
EAST MOLINE, IL 61244
(866) 697-8378
1801049895MR. ARTEMIO B CAJIGAL JR. COUNSELOR
Individual
Counselor (Addiction (Substance Use Disorder))708 15TH AVE
EAST MOLINE, IL 61244
(563) 336-3000

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1912587486, enumerated in the NPI registry as an "organization" on April 09, 2021

The provider is located at 708 15th Ave East Moline, Il 61244 and the phone number is (309) 751-4023

This medical organization specializes in Clinical Medical Laboratory with taxonomy code 291U00000X

The provider might be accepting Accepts: Cigna Healthcare, Cigna HealthCare of Arizona,. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 14D2213996 for a "independent" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on April 09, 2021. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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