PROLAB
NPI 1255672176
Clinical Medical Laboratory in Ft Worth, TX

Active since March 04, 2013
3020 WICHITA CT, FT WORTH, TX 76140(866) 776-5221(682) 647-6238 Get Directions Write a Review

NPPES record last updated: March 4, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Prolab NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PROLAB (NPI 1255672176) is a healthcare organization registered as a clinical medical laboratory in Ft Worth, Texas and active in the NPI registry since March 2013. The organization lists Holly Renea Shields, Coo/vice President, as its authorized official.

NPPES Registry Identity

NPI1255672176
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NamePROFESSIONAL CLINICAL LABORATORY, INC
Location Address3020 WICHITA CTFt Worth, TX 76140-1710
Mailing Address6660 Doubletree AveColumbus, OH 43229-1128 · (866) 776-5221 · Fax (682) 647-6238
Fax(682) 647-6238
Organization SubpartNo
Authorized OfficialHolly Renea ShieldsCoo/vice President · (866) 776-5221
Enumeration DateMarch 4, 2013
NPI 1255672176 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinical Medical LaboratoryLaboratories
Taxonomy Code291U00000X
License Licensed in OH · 36D2050322
Definition

(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 body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.

3020 WICHITA CT, Ft Worth, TX 76140

Other Names 1

Doing Business AsProlab

Other Identifiers 10

Medicaid1523402LA
Medicaid286063701TX
Medicaid160698001TX
Medicaid191954001TX
OtherCL5046TX · Blue Cross Blueshield
Medicaid00054521MS
Medicaid140312AL
Medicaid164542709AR
Medicaid200094750AOK
Other690008760Railroad Medicare

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Professional Clinical Laboratory, Inc's NPI number?

The NPI number for Professional Clinical Laboratory, Inc is 1255672176. It was assigned to this organization in the NPPES registry on March 4, 2013. The provider is doing business as Prolab.

Where is Professional Clinical Laboratory, Inc located?

Professional Clinical Laboratory, Inc is located at 3020 Wichita Ct, Ft Worth, TX 76140. The listed phone number is (866) 776-5221.

What is Professional Clinical Laboratory, Inc's specialty?

The primary specialty registered for this NPI is Clinical Medical Laboratory with taxonomy code 291U00000X.

When was this NPI record last updated?

The NPPES record for Professional Clinical Laboratory, Inc was last updated on March 4, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.