Proline Labs

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

PROLINE LABS

Practice address

11140 La Quinta PL Ste 101B
El Paso, TX 79936-5227

Phone

(915) 494-2611

NPI assigned

Feb 6, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Jeffrey RodriguezNPI 1710741285

Title

Owner

Phone

(915) 494-2611

Specialties & licenses 1

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeffrey Rodriguez

  • Medical Laboratory Technician
  • El Paso, TX
  • NPI 1710741285
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1707177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722816000000",
    "number": "1427812916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11140 LA QUINTA PL # 101B",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799365227",
            "telephone_number": "915-494-2611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11140 LA QUINTA PL STE 101B",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "799365227",
            "telephone_number": "915-494-2611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROLINE LABS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-06",
        "last_updated": "2024-08-05",
        "certification_date": "2024-08-05",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "915-494-2611"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Project Vida Health Center (Reyes Elementary School)
• Project Vida Health Center (Pebble Hills High School)
• Project Vida Health Center, Inc. (Diana Street Clinic)
• Alex Prokopenko, DDS
• Daisy Maravilla Proksch, MD
• Prosperity Ep Medical Group, PLLC
• Claudia Maria Prospero Ponce
• Justina A Prospero
• Scott Alan Protzman, M.D.
• Provedoras Caseras de El Paso Inc.

• Clinical Medical Laboratory in El Paso, TX
• Providers in El Paso, TX by specialty
• Clinical Medical Laboratory in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.