Prolab Incorporated
NPI #1992314306 in Georgetown, Texas
Provider Information
- NPI Number
- 1992314306
- Entity Type
- Organization
- Organization Name
- Prolab Incorporated
- Primary Specialty
- Clinical Medical Laboratory
- Enumeration Date
- Jul 31, 2020
- Last Updated
- Jun 13, 2025
Practice Location
- Address
- PRO-LAB DIAGNOSTICS
- Address 2
- 1301 BLUE RIDGE DRIVE SUITE 101
- City
- Georgetown
- State
- Texas
- ZIP Code
- 78626-1034
- Phone
- (512) 832-9145
Authorized Official
- Name
- DANIEL SAUL PORTILLO
- Title
- COO
- Phone
- (210) 430-8078
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinical Medical Laboratory |
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