PROLAB
NPI 1376592279
Clinical Medical Laboratory in Pearl, MS

Active since May 08, 2006
109 FAIRMONT PLZ, PEARL, MS 39208(866) 776-5221(817) 568-1960 Get Directions Write a Review

NPPES record last updated: December 3, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Prolab NPPES

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

PROLAB (NPI 1376592279) is a healthcare organization registered as a clinical medical laboratory in Pearl, Mississippi and active in the NPI registry since May 2006. The organization lists Holly R Shields, Coo, as its authorized official.

NPPES Registry Identity

NPI1376592279
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NamePROFESSIONAL CLINICAL LABORATORY, INC.
Location Address109 FAIRMONT PLZPearl, MS 39208-3424
Mailing Address3020 Wichita CtFort Worth, TX 76140-1710 · (866) 776-5221 · Fax (817) 568-1960
Fax(817) 568-1960
Organization SubpartNo
Authorized OfficialHolly R ShieldsCoo · (866) 776-5221
Enumeration DateMay 8, 2006
Last NPPES UpdateDecember 3, 2009
NPI 1376592279 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinical Medical LaboratoryLaboratories
Taxonomy Code291U00000X
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.
109 FAIRMONT PLZ, Pearl, MS 39208

Other Names 1

Doing Business AsProlab

Other Identifiers 5

Medicaid690000082AL
Medicare PIN690000082MS
Medicaid06408362MS
Medicaid4490761TN
Medicaid1523402LA

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 1376592279. It was assigned to this organization in the NPPES registry on May 8, 2006. The provider is doing business as Prolab.

Where is Professional Clinical Laboratory, Inc. located?

Professional Clinical Laboratory, Inc. is located at 109 Fairmont Plz, Pearl, MS 39208. 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 December 3, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.