OrganizationActive
Prolab Servicse Inc
NPI 1659596161 · Clinical Medical Laboratory · Jefferson City, MO
Provider details
- NPI number
- 1659596161
- Entity type
- Organization
- Primary specialty
- Clinical Medical LaboratoryLaboratories
- Organization subpart
- No
- Authorized official
- Johanna Lootens, Owner Manager(573) 659-5460
Specialties & taxonomies
Laboratories
Profile Score
Detailed profile(89/100 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
1705 Christy Dr Ste 105
Jefferson City, MO 65101-5195
Phone: (573) 659-5460
Street-level locationGet directions
Mailing address
1705 Christy Dr Ste 105
Jefferson City, MO 65101-5195
Registry dates
- Enumerated
- 2007-04-17
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.