OrganizationActive
Professional Clinical Laboratory, Inc
NPI 1255672176 · Clinical Medical Laboratory · Ft Worth, TX
Provider details
- NPI number
- 1255672176
- Entity type
- Organization
- Primary specialty
- Clinical Medical LaboratoryLaboratories
- Organization subpart
- No
- Authorized official
- Holly Shields, Coo/Vice President(866) 776-5221
- License
- 36D2050322 (OH)
Specialties & taxonomies
Laboratories
Profile Score
Detailed profile(78/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
3020 Wichita Ct
Ft Worth, TX 76140-1710
Phone: (866) 776-5221
Fax: (682) 647-6238
Street-level locationGet directions
Mailing address
6660 Doubletree Ave
Columbus, OH 43229-1128
Other names (DBA / former)
- Doing business as
- Prolab
Registry dates
- Enumerated
- 2013-03-04
- Last updated
- 2013-03-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.