PROFESSIONAL CLINICAL LABORATORY, INC
Medical Laboratory at Wichita Ct, Fort Worth, TX

License number
Texas 36D2050322
Category
Medical Laboratory
Type
Clinical Medical Laboratory
Owner
Name: MRS. HOLLY RENEA SHIELDS
Title: COO/VICE PRESIDENT
Phone: (866) 776-5221
Address
Address 2
3020 Wichita Ct, Fort Worth, TX 76140
6660 Doubletree Ave, Columbus, OH 43229
National Provider ID: 1255672176
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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