NPI age
18 years
Enumerated 2007-09-11
● 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
Last NPPES update
2009-12-03
Source: monthly bulk 2026-05
How this organization compares
Across 2082 active clinical medical laboratory providers in Texas.
NPI age
18 years
↑ 10 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2007 → 2026
2007-09Enumerated in NPPES
2007
2026
Where they practice
Primary practice location
2329 Parker Rd
Carrollton, TX 750104713
Mailing address
3020 Wichita Ct
Fort Worth, TX 761401710
Authorized official
Holly R Shields
Coo
📞 8667765221
Individual providers at this organization
3 individual providers on file at this primary practice address.
- Jennifer Burdett, PT Physical Therapist NPI 1952560922
- Yermiahu Sarne, PA-C Physician Assistant NPI 1225643562
- Nithin Thomas Koshy, FNP Nurse Practitioner NPI 1538782883
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 |
|---|---|---|
| 01 (TX) | 10007948 | AMERIGROUP |
| 01 (TX) | CL5046 | BLUE CROSS BLUE SHIELD |
| 01 (TX) | 690008760 | RAILROAD MEDICARE |
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
ProLab
Practice context
Multi-provider organization. 3 individual providers on file at this primary address.
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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.