NPI 1992786743

Professional Clinical Laboratory INC

Organisation Clinical Medical Laboratory Ft Worth, TX

Practice location

Address: 2718 SE Loop 820, Ft Worth, TX 76140-1011
Phone: (866) 776-5221
Fax: (817) 568-1960
Mailing address: 3020 Wichita CT, Ft Worth, TX 76140-1710

Authorised official

Name: Holly R Shields
Title: Coo
Phone: (866) 776-5221

Registered specialties (2)

Clinical Medical Laboratory Primary

Laboratories Taxonomy 291U00000X Licence CLIA45D0942000 (TX)

Other Clinical Medical Laboratory providers in Texas →

Clinical Medical Laboratory

Laboratories Taxonomy 291U00000X Licence E0056 (TX)

Registry record

NPI: 1992786743
Entity type: Organization
NPI issued: 9 Nov 2005
Record last updated: 3 Dec 2009

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.