Professional Clinical Laboratory, Inc. in Fort Worth - Clinical Medical Laboratory
Professional Clinical Laboratory, Inc. - NPI 1437344546
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 1437344546. 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 | 1437344546 |
|---|---|
| Provider Enumeration Date | 2007-09-11 |
| 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 |
|---|---|---|---|
| 10007948 | TX | AMERIGROUP | |
| CL5046 | TX | BLUE CROSS BLUE SHIELD | |
| 690008760 | TX | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the unique 10-digit 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) 1437344546 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Professional Clinical Laboratory, Inc. is located?
The Professional Clinical Laboratory, Inc. is situated at the following address: 3020 Wichita Ct, Fort Worth, TX, 761401710.
What is the Professional Clinical Laboratory, Inc.'s area of specialization and corresponding taxonomy classification?
The Professional Clinical Laboratory, Inc.'s specialty field is Clinical Medical Laboratory, and it falls under the taxonomy code 291U00000X, which categorizes healthcare providers based on their specialties.
When did the Professional Clinical Laboratory, Inc. receive its 1437344546?
The Professional Clinical Laboratory, Inc. was issued its 1437344546 on 2007-09-11, which is the date when the organization was assigned this unique identifier.
As of what date were the details related to Professional Clinical Laboratory, Inc. most recently updated or revised?
The information pertaining to Professional Clinical Laboratory, Inc., including its address, specialty, and other relevant details, was last updated or revised on 2009-12-03.
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