NPI age
13 years
Enumerated 2013-03-04
● Active Type 2 · Organization
Professional Clinical Laboratory, Inc
Professional Clinical Laboratory, Inc is 1 of 2082 clinical medical laboratory organizations in Texas.
Primary specialty
Clinical Medical Laboratory
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Shields
Coo/vice President
Last NPPES update
2013-03-04
Source: monthly bulk 2026-05
How this organization compares
Across 2082 active clinical medical laboratory providers in Texas.
NPI age
13 years
↑ 5 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2013 → 2026
2013-03Enumerated in NPPES
2013
2026
Where they practice
Primary practice location
3020 Wichita Ct
Ft Worth, TX 761401710
Mailing address
6660 Doubletree Ave
Columbus, OH 432291128
Authorized official
Holly Renea Shields
Coo/vice President
📞 8667765221
Specialties
-
Clinical Medical Laboratory Primary(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 286063701 | |
| 05 (OK) | 200094750A | |
| 05 (TX) | 191954001 | |
| 05 (LA) | 1523402 | |
| 05 (AL) | 140312 | |
| 05 (AR) | 164542709 | |
| 01 (TX) | CL5046 | BLUE CROSS BLUESHIELD |
| 05 (MS) | 00054521 | |
| 05 (TX) | 160698001 | |
| 01 | 690008760 | RAILROAD MEDICARE |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
ProLab
Practice context
Single-site organization. Only one practice location on file.
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Request a quote →How to verify this organization
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.