Professional Clinical Laboratory Inc in Ft Worth - Clinical Medical Laboratory
Professional Clinical Laboratory Inc - NPI 1235109075
Professional Clinical Laboratory Inc is a Clinical Medical Laboratory in Ft 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 1235109075. The last update date is 2009-12-03.
Professional Clinical Laboratory Inc's current location address is 3020 Wichita Ct, Ft 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, Ft Worth, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Professional Clinical Laboratory Inc |
|---|---|
| Address | 3020 Wichita Ct, Ft 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 | 1235109075 |
|---|---|
| Provider Enumeration Date | 2006-01-24 |
| Last Updated Date | 2009-12-03 |
Provider Mailing Address Detail
| Address | 3020 Wichita Ct |
|---|---|
| City | Ft Worth |
| State | Texas (TX) |
| Post Code | 761401011 |
| Phone Number | 8667765221 |
| Fax Number | 8175681960 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Medical Laboratory |
|---|---|
| Taxonomy | 291U00000X |
| Licence No | CLIA45D10405 |
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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 |
|---|---|---|---|
| 164542709 | AR | -- | |
| 1523402 | LA | -- | |
| 185625401 | TX | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Professional Clinical Laboratory Inc by the Centers for Medicare & Medicaid Services?
The Professional Clinical Laboratory Inc has been assigned the NPI (National Provider Identifier) 1235109075. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Professional Clinical Laboratory Inc?
The Professional Clinical Laboratory Inc is physically situated at 3020 Wichita Ct, in the city of Ft Worth, state of TX, with the postal code 761401011.
What is Professional Clinical Laboratory Inc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Professional Clinical Laboratory Inc's area of specialization is Clinical Medical Laboratory, and the corresponding taxonomy code that categorizes this field of practice is 291U00000X.
On what date did the Professional Clinical Laboratory Inc receive the assignment of its 1235109075 from the Centers for Medicare & Medicaid Services?
The Professional Clinical Laboratory Inc was issued its 1235109075 by the Centers for Medicare & Medicaid Services on 2006-01-24.
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.
NPI Number: 1467452797
Address: 450 Clarkson Ave Ste B6-314, Brooklyn, NY