Organization
PROLAB INCORPORATED
Active
Other names
PRO-LAB DIAGNOSTICS
Organization subpart
No
Provider details
NPI number
Authorized official
DANIEL SAUL PORTILLO (COO)
(210) 430-8078
Entity
Organization
Contact information
Practice address
PRO-LAB DIAGNOSTICS, 1301 BLUE RIDGE DRIVE SUITE 101, GEORGETOWN, TX 78626-1034
(512) 832-9145
Mailing address
PRO-LAB DIAGNOSTICS, 1301 BLUE RIDGE DRIVE SUITE 101, GEORGETOWN, TX 78626-1034
(512) 832-9145
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
07/31/2020
Last updated
06/13/2025
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