PROFESSIONAL CLINICAL LABORATORY INC
Medical Laboratory in Fort Worth, TX

License number
Texas CLIA45D0942000
Category
Medical Laboratory
Type
Clinical Medical Laboratory
License number
Texas E0056
Category
Medical Laboratory
Type
Clinical Medical Laboratory
Owner
Name: HOLLY R SHIELDS
Title: COO
Phone: (866) 776-5221
Address
Address
2718 SE LOOP 820, Fort Worth, TX 76140
National Provider ID: 1992786743
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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PROFESSIONAL CLINICAL LABORATORY, INC

Euless, TX  -  Fort Worth, TX

Industry:
Medical Laboratory
Doing business as:
Professional Clinical Laboratory, Inc<br>Pro Lab<br>Prolab
Registration:
Feb 19, 1999
Phone:
(817) 293-7010 (Phone)
Addresses:
310 S Industrial Blvd STE 100, Euless, TX 76040 (Mailing)
3020 Wichita Ct, Fort Worth, TX 76140
2718 SE Loop 820, Fort Worth, TX 76140
State ID:
0152590900
Business type:
Domestic For-Profit Corporation
President, Directors:
Hillary Strasner (MANAGER, Director, President), 7301 Braemar Ter, Colleyville, TX 76034,Holly Shields (MANAGER, Vice President), 206 Millwood Ct, Colleyville, TX 76034,Hillary Bell President, Director, inactive
Agent:
Ellen Sacco,1431 Greenway Dr SUITE 615, Irving, TX 75038 (Physical)
TIN:
17528050788

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