Professional Clinical Laboratory, INC

NPI #1255672176 in Ft Worth, Texas

Provider Information

NPI Number
1255672176
Entity Type
Organization
Organization Name
Professional Clinical Laboratory, INC
Primary Specialty
Clinical Medical Laboratory
Enumeration Date
Mar 4, 2013
Last Updated
Mar 4, 2013

Practice Location

Address
3020 WICHITA CT
State
Texas
ZIP Code
76140-1710
Phone
(866) 776-5221

Authorized Official

Name
MRS. HOLLY RENEA SHIELDS
Title
COO/VICE PRESIDENT
Phone
(866) 776-5221

Specialties & Taxonomy Codes

Specialty
Clinical Medical Laboratory

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