Prolab

LBN: Professional Clinical Laboratory Inc
Prolab is an health care organization with primary practice located at 1414 S Main St , Lindale TX 75771-6267. The organization recently has only one registered license in Laboratories / Clinical Medical Laboratory, which is considered as the primary health care specialty. Professional Clinical Laboratory Inc can be contacted via phone (866) 776-5221, or through Shields, Holly R via phone (866) 776-5221.

Contact Information

Primary practice address
1414 S Main St Lindale TX 75771-6267
Phone: (866) 776-5221
Fax: (817) 568-1960
Website:
Map and Directions
Authorized official contact:
Name: Shields, Holly R
Phone: (866) 776-5221

Health care specialties

SpecialtyCodeLicense #State
Laboratories / Clinical Medical Laboratory 291U00000X CLIA45D1040578 Texas

Profile Details

NPI number 1235109075
LBN Legal business name Professional Clinical Laboratory Inc
DBA Doing business as Prolab
Authorized official Shields, Holly R
Entity Organization
Organization subpart 1 No
Enumeration date Jan 24th, 2006
Last updated Dec 3rd, 2009 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235109075 NPPES
Arkansas MEDICAID 164542709
Arkansas MEDICAID 1523402
Arkansas MEDICAID 185625401

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