NPI age
7 years
Enumerated 2019-02-21
● Active Type 2 · Organization
Laboratory Corporation Of America
Laboratory Corporation Of America is 1 of 75 clinical medical laboratory organizations in Idaho.
Primary specialty
Clinical Medical Laboratory
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Williams
Vice President
Last NPPES update
2019-02-21
Source: monthly bulk 2026-05
How this organization compares
Across 75 active clinical medical laboratory providers in Idaho.
NPI age
7 years
↓ 7 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2019 → 2026
2019-02Enumerated in NPPES
2019
2026
Where they practice
Primary practice location
740 McKinley Ave
Kellogg, ID 838372693
Mailing address
Po Box 2240
Burlington, NC 272162240
Authorized official
Kimberly T Williams
Vice President
📞 8002227566
Individual providers at this organization
20 individual providers on file at this primary practice address.
- Sue Castleman, D.O. Internal Medicine NPI 1528260429
- Karen Currie, LCSW Social Worker NPI 1144697814
- Robert Fallon, MD Surgery NPI 1285678912
- Yanhua Gao Pharmacist NPI 1497881031
- MacKenzie Gilbertson, BS Social Worker NPI 1669215943
- Frederick Haller, M.D. Internal Medicine NPI 1396797726
- Shelly Hansen, LMSW Social Worker NPI 1730341603
- Lindsey Hill, CHCW Case Manager/Care Coordinator NPI 1205445574
- Kelli Kenser, DPT Physical Therapist NPI 1548075443
- Jocelyn Korasick, MD Family Medicine NPI 1457346603
- Cory Lewis, DPT Physical Therapist NPI 1467496323
- Steven Malek, MD Family Medicine NPI 1740273044
- Kathleen Nansel, BA, CFSP Rehabilitation Practitioner NPI 1972089605
- Shannon Nansel, PEER SUPPORT SPECIAL Peer Specialist NPI 1619453370
- Amanda Olson, LCSW Social Worker NPI 1588158943
- Jennifer Porter, LCSW Social Worker NPI 1962889477
- Melissa Rix Nurse Practitioner NPI 1992586309
- Casey Vincent, LCSW Social Worker NPI 1679094940
- Garret Wendt, PHARMD Pharmacist NPI 1255065058
- Tony Wright Pharmacist NPI 1821372384
Specialties
-
Clinical Medical Laboratory Primary(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...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 01 | 13D2161654 | CLIA |
Practice context
Multi-provider organization. 20 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.