NPI 1255672176

Professional Clinical Laboratory, INC

Organisation Clinical Medical Laboratory Ft Worth, TX

Practice location

Address: 3020 Wichita CT, Ft Worth, TX 76140-1710
Phone: (866) 776-5221
Fax: (682) 647-6238
Mailing address: 6660 Doubletree Ave, Columbus, OH 43229-1128

Authorised official

Name: Holly Renea Shields
Title: Coo/Vice President
Phone: (866) 776-5221

Registered specialties

Clinical Medical Laboratory Primary

Laboratories Taxonomy 291U00000X Licence 36D2050322 (OH)

Other Clinical Medical Laboratory providers in Texas →

Registry record

NPI: 1255672176
Entity type: Organization
NPI issued: 4 Mar 2013
Record last updated: 4 Mar 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.