Prolaboratory LLC

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

PROLABORATORY LLC

Doing business as

Prolaboratory Services

Practice address

1109 W Macarthur Ave Unit C
Eau Claire, WI 54701-6282

Phone

(715) 514-1443

NPI assigned

Mar 25, 2024

Last updated

Mar 25, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Seleta Vang

Title

Managing Member

Phone

(715) 514-1443

Specialties & licenses 1

Addresses

Other names 1

• Prolaboratory Services Doing business as

Locations

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

{
    "created_epoch": "1711324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1711324800000",
    "number": "1477303246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1109 W MACARTHUR AVE UNIT C",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547016282",
            "telephone_number": "715-514-1443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1109 W MACARTHUR AVE UNIT C",
            "city": "EAU CLAIRE",
            "state": "WI",
            "postal_code": "547016282",
            "telephone_number": "715-514-1443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROLABORATORY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-25",
        "last_updated": "2024-03-25",
        "certification_date": "2024-03-25",
        "status": "A",
        "authorized_official_last_name": "VANG",
        "authorized_official_first_name": "SELETA",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "715-514-1443"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Prolaboratory Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Angela M Prissel, DC
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• Steven J Prock, CRNA
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• Lalita Lynn Prorok, LPC
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• Richard Laverne Pruzek, SCHOOL PSYCHOLOGIST
• Jonathan Purvis, LAT

• Clinical Medical Laboratory in Eau Claire, WI
• Providers in Eau Claire, WI by specialty
• Clinical Medical Laboratory in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.