Organization
PROFESSIONAL CLINICAL LABORATORY INC
Active
Other names
ProLab
Organization subpart
No
Provider details
NPI number
Authorized official
HOLLY R SHIELDS (COO)
(866) 776-5221
Entity
Organization
Contact information
Practice address
5314 DASHWOOD DR, THIRD FLOOR, HOUSTON, TX 77081-4603
(866) 776-5221
(682) 647-6239
Mailing address
3020 WICHITA CT, FT WORTH, TX 76140-1710
(866) 776-5221
(682) 647-6239
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
CLIA45D1042882
TX
Other
Enumeration date
01/26/2006
Last updated
07/17/2013
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