Organization
PRO LAB, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TODD R JONES (PRESIDENT)
(304) 344-1623
Entity
Organization
Contact information
Practice address
3752 TEAYS VALLEY RD STE 1, HURRICANE, WV 25526-9705
(304) 344-1623
Mailing address
PO BOX 279, CABIN CREEK, WV 25035-0279
(304) 344-1623
(304) 556-9165
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
12/30/2020
Last updated
12/30/2020
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