Prolab

LBN: Professional Clinical Laboratory
Prolab is an health care organization with primary practice located at 7801 N Robinson Ave Suite J11, Oklahoma City OK 73116-7726. The organization recently has only one registered license in Laboratories / Clinical Medical Laboratory, which is considered as the primary health care specialty. Professional Clinical Laboratory can be contacted via phone (866) 776-5221, or through Shields, Holly R via phone (866) 776-5221.

Contact Information

Primary practice address
7801 N Robinson Ave Suite J11 Oklahoma City OK 73116-7726
Fax: (817) 560-1960
Website:
Authorized official contact:
Name: Shields, Holly R

Health care specialties

SpecialtyCodeLicense #State
Laboratories / Clinical Medical Laboratory 291U00000X 37D1054866 Oklahoma

Profile Details

NPI number 1285679324
LBN Legal business name Professional Clinical Laboratory
DBA Doing business as Prolab
Authorized official Shields, Holly R
Entity Organization
Organization subpart 1 No
Enumeration date Jun 20th, 2006
Last updated Dec 3rd, 2009 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1285679324 NPPES
Oklahoma MEDICAID 200094750A

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