Provider Demographics
NPI:1710221932
Name:LABCORP
Entity Type:Organization
Organization Name:LABCORP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:TECHNICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:XIAO-XIANG
Authorized Official - Middle Name:
Authorized Official - Last Name:ZHANG
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:615-377-7173
Mailing Address - Street 1:201 SUMMIT VIEW DR
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-4645
Mailing Address - Country:US
Mailing Address - Phone:615-377-7173
Mailing Address - Fax:615-263-0412
Practice Address - Street 1:201 SUMMIT VIEW DR
Practice Address - Street 2:
Practice Address - City:BRENTWOOD
Practice Address - State:TN
Practice Address - Zip Code:37027-4645
Practice Address - Country:US
Practice Address - Phone:615-377-7173
Practice Address - Fax:615-263-0412
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-15
Last Update Date:2012-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADRM00000026291U00000X
NYZHANX1291U00000X
TNML0000022067291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory