Professional Clinical Laboratory Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

CLIA45D1042882 Issued in TX

Legal business name

PROFESSIONAL CLINICAL LABORATORY INC

Doing business as

ProLab

Practice address

5314 Dashwood Dr
Third Floor
Houston, TX 77081-4603

Phone

(866) 776-5221

Fax

(682) 647-6239

NPI assigned

Jan 26, 2006

Last updated

Jul 17, 2013By 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

Holly R Shields

Title

Coo

Phone

(866) 776-5221

Specialties & licenses 1

Addresses

Other names 1

• ProLab Doing business as

Locations

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

{
    "created_epoch": "1138233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1374019200000",
    "number": "1770553182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3020 WICHITA CT",
            "city": "FT WORTH",
            "state": "TX",
            "postal_code": "761401710",
            "telephone_number": "866-776-5221",
            "fax_number": "682-647-6239"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5314 DASHWOOD DR",
            "address_2": "THIRD FLOOR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770814603",
            "telephone_number": "866-776-5221",
            "fax_number": "682-647-6239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROFESSIONAL CLINICAL LABORATORY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-26",
        "last_updated": "2013-07-17",
        "status": "A",
        "authorized_official_last_name": "SHIELDS",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "866-776-5221"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "TX",
            "license": "CLIA45D1042882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ProLab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Professional Admin Services
• Professional Anesthesia Services of Texas PA
• Professional Care Solutions, LLC
• Professional First Assistants,LLC
• Professional Foot and Ankle Surgical Center, PA
• Professional Imagaing, LLC
• Professional Management Services
• Professional Medical & Surgical Clinic Association

• Clinical Medical Laboratory in Houston, TX
• Providers in Houston, 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 Jul 17, 2013; 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.