PROLAB
NPI 1255672176
Clinical Medical Laboratory in Ft Worth, TX

NPI Status: Active since March 04, 2013

Contact Information

3020 WICHITA CT
FT WORTH, TX
ZIP 76140
Phone: (866) 776-5221
Fax: (682) 647-6238

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  • Organization
  • Clinical Medical Laboratory

About PROLAB

This page provides the complete NPI Profile along with additional information for Prolab, a provider established in Ft Worth, Texas operating as a Clinical Medical Laboratory. The healthcare provider is registered in the NPI registry with number 1255672176 assigned on March 2013. The practitioner's primary taxonomy code is 291U00000X with license number 36D2050322 (OH). The provider is registered as an organization and their NPI record was last updated 13 years ago. The provider's is doing business as Prolab. The authorized official of this NPI record is Mrs. Holly Renea Shields (Coo/vice President)

NPI
1255672176
Provider Legal Name
PROFESSIONAL CLINICAL LABORATORY, INC
Other Organization Name
PROLAB
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
3020 WICHITA CT FT WORTH, TX 76140
Location Phone
(866) 776-5221
Location Fax
(682) 647-6238
Mailing Address
6660 DOUBLETREE AVE COLUMBUS, OH 43229
Mailing Phone
(866) 776-5221
Mailing Fax
(682) 647-6238
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-04-2013
Last Update Date
03-04-2013
Code Navigator

Establishments like Prolab are healthcare facilities that may perform a wide range of laboratory procedures, assisted by doctors and medical technologists. Laboratories can be categorized according to their function as common diagnostic labs or specialty labs that conduct specialized or confirmatory tests. Different clinical laboratories could specialize in clinical chemistry, clinical microbiology, hematology, serology, clinical microscopy, cytopathology, molecular biology, or public health. Please inquire directly with this provider to confirm their test menu.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinical Medical Laboratory

Taxonomy Code
291U00000X
Type
Laboratories
License No.
36D2050322
License State
OH
Taxonomy Description
(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.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MRS. HOLLY RENEA SHIELDS

Authorized Official Title
COO/VICE PRESIDENT
Authorized Official Phone
(866) 776-5221

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
1523402MEDICAID (05)LA 
286063701MEDICAID (05)TX 
160698001MEDICAID (05)TX 
191954001MEDICAID (05)TX 
CL5046OTHER (01)TXBLUE CROSS BLUESHIELD
00054521MEDICAID (05)MS 
140312MEDICAID (05)AL 
164542709MEDICAID (05)AR 
200094750AMEDICAID (05)OK 
690008760OTHER (01)RAILROAD MEDICARE

Reviews for PROLAB

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1255672176, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 54. The final step is to find the difference between that total and the next multiple of ten (60 - 54 = 6).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
2
Unchanged
Pos 3
5
Doubled → 10 → 1 + 0
Pos 4
5
Unchanged
Pos 5
6
Doubled → 12 → 1 + 2
Pos 6
7
Unchanged
Pos 7
2
Doubled → 4
Pos 8
1
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
6
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 5 → 10 → 1 6 → 12 → 3 2 → 4 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 2 + 1 + 0 + 5 + 1 + 2 + 7 + 4 + 1 + 1 + 4 + 24 = 54

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 54 is 60. The difference is the calculated check digit.

60 - 54 = 6
This NPI is valid
The calculated check digit is 6, which matches the last digit of 1255672176.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1255672176, enumerated as an "organization" on March 04, 2013.

The provider is located at 3020 WICHITA CT FT WORTH, TX 76140 and the phone number is (866) 776-5221.

Clinical Medical Laboratory with taxonomy code 291U00000X.

The provider might be accepting Accepts: Medicare, Medicaid, Blue Cross Blue Shield and. Please consult your insurance carrier or call the provider to verify.