| NPI | 1285951665 |
|---|---|
| Doing Business As | PROLAB |
| Entity Type | Organization |
| Authorized Contact | HOLLY R SHIELDS Vice President COO 866-776-5221 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2010-04-26 |
| Last Update Date | 2010-04-26 |