Professional Clinical Laboratory, Inc. in Fort Worth - Clinical Medical Laboratory
Professional Clinical Laboratory, Inc. - NPI 1376592279
Professional Clinical Laboratory, Inc. is a Clinical Medical Laboratory in Fort Worth, Texas. Professional Clinical Laboratory, Inc. practices all healthcare services and medical treatments related to Clinical Medical Laboratory. The NPI Number for Professional Clinical Laboratory, Inc. is 1376592279. The last update date is 2009-12-03.
Professional Clinical Laboratory, Inc.'s current location address is 3020 Wichita Ct, Fort Worth, Texas. You can contact this provider via phone number 8667765221 and fax number 8175681960. The mailing address for Professional Clinical Laboratory, Inc. is 3020 Wichita Ct, Fort Worth, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Professional Clinical Laboratory, Inc. |
|---|---|
| Address | 3020 Wichita Ct, Fort Worth, Texas |
| Phone Number | 8667765221 |
| Fax Number | 8175681960 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | COO |
|---|---|
| Authorized Official Name | Shields R Holly |
| Telephone Number | 8667765221 |
NPI Number Detail
| NPI Number | 1376592279 |
|---|---|
| Provider Enumeration Date | 2006-05-08 |
| Last Updated Date | 2009-12-03 |
Provider Mailing Address Detail
| Address | 3020 Wichita Ct |
|---|---|
| City | Fort Worth |
| State | Texas (TX) |
| Post Code | 761401710 |
| Phone Number | 8667765221 |
| Fax Number | 8175681960 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Medical Laboratory |
|---|---|
| Taxonomy | 291U00000X |
|
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 purp |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4490761 | TN | -- | |
| 1523402 | LA | -- | |
| 690000082 | AL | -- | |
| 6408362 | MS | -- |
Post Comment/ Review Below
What is the Professional Clinical Laboratory, Inc.'s unique identification number?
The Professional Clinical Laboratory, Inc. has been assigned the NPI (National Provider Identifier) Number 1376592279 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you kindly provide the complete physical address where Professional Clinical Laboratory, Inc.'s facilities are geographically located?
The facilities of Professional Clinical Laboratory, Inc. are physically situated at the following location: 3020 Wichita Ct, Fort Worth, TX, 761401710.
What is Professional Clinical Laboratory, Inc.'s area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Professional Clinical Laboratory, Inc. is Clinical Medical Laboratory, and the taxonomy code that categorizes this field of expertise is 291U00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1376592279 to Professional Clinical Laboratory, Inc.?
The Centers for Medicare & Medicaid Services assigned the 1376592279 to Professional Clinical Laboratory, Inc. on 2006-05-08.
When was the Professional Clinical Laboratory, Inc.'s information last updated?
The Professional Clinical Laboratory, Inc.'s information was last updated on 2009-12-03.
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