ProLab – Clinical Medical Laboratory, NPI 1235109075

Clinical Medical Laboratory

ProLab is a healthcare provider. based in Ft worth, Texas. specializing in Clinical Medical Laboratory. The organization holds a License No. CLIA45D1040578 (TX). The NPI Number for ProLab is 1235109075

Main info

Organization

Name

ProLab

NPI

1235109075

Phone

(866) 776-5221

Address

3020 WICHITA CT

Authorized Official

HOLLY R SHIELDS COO

Enumeration Date

24 January 2006

Last Update Date

3 December 2009

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience54

Completeness80

Years active:20State licenses:1Digital endpointsUpdated within 12 months

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Provider Addresses for ProLab

3020, Wichita Court, Fort Worth, Tarrant County, Texas, 76140, United States
FT WORTH, TX 761401011
Phone: (866) 776-5221
Fax: (817) 568-1960
Type: Mailing
1414, South Main Street, Thedford, Lindale, Smith County, Texas, 75771, United States
LINDALE, TX 757716267
Phone: (866) 776-5221
Fax: (817) 568-1960
Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 76140)

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Reviews

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Frequently asked questions

What number should I use to identify ProLab for billing?

Administrative and clinical systems typically use NPI 1235109075 for ProLab.

Should I treat ProLab as an active provider?

Patients and plans typically see ProLab as active in the national extract.

What does the directory say ProLab does?

Insurance directories may phrase it differently, but here ProLab maps to Clinical Medical Laboratory. Clinical services aligned with this taxonomy classification.

What city is tied to ProLab?

The directory associates ProLab with Ft Worth, Texas. Check all listed addresses for suites or satellite offices.

Can I export ProLab's record?

You can download the official NPPES record; we summarize key fields for readability.