PROLAB INCORPORATED


Address: Pro-lab Diagnostics Us, 21 Cypress Blvd. Ste. 1155, Round Rock, TX 78665
Phone: 5128329145

PROLAB INCORPORATED (NPI# 1992314306) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1992314306
Entity Type Organization
Organization Name PROLAB INCORPORATED
Other Organization Name PRO-LAB DIAGNOSTICS
Practice Address Pro-lab Diagnostics Us
21 Cypress Blvd. Ste. 1155
Round Rock
TX 78665
Mailing Address Pro-lab Diagnostics
21 Cypress Blvd. Ste. 1155
Round Rock
TX 78665
Practice Telephone 5128329145
Mailing Telephone 5128329145
Enumeration Date 2020-07-31
Last Update Date 2020-10-29
Authorized Official Name ASHLEY KATE ELMORE (CAO)
Authorized Official Telephone 5128329145
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 291U00000X Clinical Medical Laboratory Laboratories

Other Provider/Organization Names

Other Name Type Code
PRO-LAB DIAGNOSTICS Doing Business As Name - Organization

Office Location

Street Address PRO-LAB DIAGNOSTICS US
21 CYPRESS BLVD. STE. 1155
City ROUND ROCK
State TX
Zip Code 78665

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Taxonomy Information

Taxonomy Code 291U00000X
Grouping Laboratories
Classification Clinical Medical Laboratory

Taxonomy Definition

(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.
Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186.

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City ROUND ROCK
Zip Code 78665

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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