OrganizationActive
Professional Clinical Laboratory
NPI 1285679324 · Clinical Medical Laboratory · Oklahoma City, OK
Provider details
- NPI number
- 1285679324
- Entity type
- Organization
- Primary specialty
- Clinical Medical LaboratoryLaboratories
- Organization subpart
- No
- Authorized official
- Holly Shields, Coo(866) 776-5221
- License
- 37D1054866 (OK)
Specialties & taxonomies
Laboratories
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
7801 N Robinson Ave
Suite J11
Oklahoma City, OK 73116-7726
Phone: (866) 776-5221
Fax: (817) 560-1960
Street-level locationGet directions
Mailing address
3020 Wichita Ct
Fort Worth, TX 76140-1710
Other names (DBA / former)
- Doing business as
- Prolab
Registry dates
- Enumerated
- 2006-06-20
- Last updated
- 2009-12-03
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.