| NPI | 1437344546 |
|---|---|
| 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 |
| Enumeration Date | 2007-09-11 |
| Last Update Date | 2009-12-03 |