Organization
PROFESSIONAL CLINICAL LABORATORY INC
Active
Other names
ProLab
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. HOLLY R SHIELDS B.S., MT,ASCP (VICE PRESIDENT-COO)
(866) 776-5221
Entity
Organization
Contact information
Practice address
234 AQUARIUS DR, SUITE 122, BIRMINGHAM, AL 35209-5872
(866) 776-2221
(817) 568-1960
Mailing address
3020 WICHITA CT, FT WORTH, TX 76140-1710
(866) 776-5221
(817) 568-1960
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
025542401
—
TX
05
—
06408362
—
MS
05
—
1523402
—
LA
05
—
160698001
—
TX
05
—
164542709
—
AR
05
—
200094750A
—
OK
05
—
690000082
—
AL
01
—
690008760
RAILROAD MEDICARE
—
01
—
CL5046
BLUE CROSS BLUE SHIELD
TX
01
—
P00377679
RAILROAD MEDICARE
—
01
—
P00377680
RAILROAD MEDICARE
—
Enumeration date
04/26/2010
Last updated
04/26/2010
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us