| NPI | 1285679324 |
|---|---|
| Doing Business As | PROLAB |
| Entity Type | Organization |
| Authorized Contact | HOLLY R SHIELDS COO 866-776-5221 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: OK 37D1054866) |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2009-12-03 |