LABORATORY CORPORATION OF AMERICA
NPI 1578226791
Clinical Medical Laboratory in Mishawaka, IN

Active since October 14, 2021CLIA Certified · 2 labs
4455 EDISON LAKES PKWY FL 2, MISHAWAKA, IN 46545(574) 807-0306 Get Directions Write a Review

NPPES record last updated: November 8, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 8, 2022, Oct 14, 2021 (2 updates tracked since 2021).

About Laboratory Corporation Of America NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LABORATORY CORPORATION OF AMERICA (NPI 1578226791) is a healthcare organization registered as a clinical medical laboratory in Mishawaka, Indiana and active in the NPI registry since October 2021. The organization holds 2 active CLIA laboratory certificates and lists Kimberly T Williams, Vice President, as its authorized official.

NPPES Registry Identity

NPI1578226791
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NameLABORATORY CORPORATION OF AMERICA
Location Address4455 EDISON LAKES PKWY FL 2Mishawaka, IN 46545-1414
Mailing AddressPo Box 2240Burlington, NC 27216-2240
Organization SubpartNo
Authorized OfficialKimberly T WilliamsVice President · (336) 436-5761
Enumeration DateOctober 14, 2021
Last NPPES UpdateNovember 8, 20222 updates tracked since enumeration
NPPES CertifiedNovember 8, 2022
NPI 1578226791 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinical Medical LaboratoryLaboratories
Taxonomy Code291U00000X
Definition
(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.
4455 EDISON LAKES PKWY FL 2, Mishawaka, IN 46545

Other Identifiers 1

Other15D2171145Clia

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 15D2171145

Laboratory Corporation Of America · Mishawaka, IN
Active · expires Feb 14, 2027
CLIA Number15D2171145
Laboratory TypeIndependent
Certificate Effective DateFebruary 15, 2025
Certificate Expiration DateFebruary 14, 2027
Laboratory DirectorAshley B. Obannon
Laboratory Phone(574) 231-6833
Laboratory LocationLaboratory Corporation Of America4455 Edison Lakes Pkwy 2nd Floor, Mishawaka, IN 46545
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate of Accreditation 15D0973493

Laboratory Corporation Of America Holdings · Mishawaka, IN
Active · expires Nov 27, 2026
CLIA Number15D0973493
Laboratory TypeIndependent
Certificate Effective DateNovember 28, 2024
Certificate Expiration DateNovember 27, 2026
Laboratory DirectorDr. Ashley O'bannon Latinovic
Laboratory Phone(574) 231-6409
Laboratory LocationLaboratory Corporation Of America Holdings5340 Holy Cross Pkwy Ste 206, Mishawaka, IN 46545
CLIA data matches this NPI record on: Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Laboratory Corporation Of America's NPI number?

The NPI number for Laboratory Corporation Of America is 1578226791. It was assigned to this organization in the NPPES registry on October 14, 2021.

Where is Laboratory Corporation Of America located?

Laboratory Corporation Of America is located at 4455 Edison Lakes Pkwy Fl 2, Mishawaka, IN 46545. The listed phone number is (574) 807-0306.

What is Laboratory Corporation Of America's specialty?

The primary specialty registered for this NPI is Clinical Medical Laboratory with taxonomy code 291U00000X.

Does Laboratory Corporation Of America hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does Laboratory Corporation Of America accept?

Health plans from Oscar Health Insurance, Oscar Health Maintenance Organization of Florida, Oscar Health Plan of North Carolina, Inc, Oscar Health Plan, Inc. and Oscar Insurance Company and 1 other insurer list Laboratory Corporation Of America as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Laboratory Corporation Of America was last updated on November 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.