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Professional Clinical Laboratory, Inc.

Clinical Medical Laboratory in Pearl, MS · enumerated 2006 · authorized official Holly Shields, Coo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1376592279

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Registry record

Entity type Organization (Type 2)
Legal business name Professional Clinical Laboratory, Inc.
Other name <Unavail>
Practice address 109 Fairmont Plz, Pearl, MS, 39208
Phone (866) 776-5221
Fax (817) 568-1960
Enumeration date May 8, 2006
Last updated in NPPES Dec 3, 2009

Taxonomy & classification

291U00000X Clinical Medical Laboratory Laboratories Primary

Authorized official

Name Holly Shields
Title Coo
Phone (866) 776-5221

Other identifiers

Identifier Type State Issuer
4490761 Medicaid TN -
1523402 Medicaid LA -
690000082 Medicaid AL -
06408362 Medicaid MS -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

Who is the authorized official for Professional Clinical Laboratory, Inc.?
NPPES lists Holly Shields (Coo) as the authorized official for this organization.
What is the NPI number for Professional Clinical Laboratory, Inc.?
The NPI for Professional Clinical Laboratory, Inc. is 1376592279, a Type 2 (organization) record in the CMS NPPES registry.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2009-12-03.