Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Prolab Servicse Inc

Organization Clinical Medical Laboratory · NPI 1659596161

Prolab Servicse Inc is a Clinical Medical Laboratory in Jefferson City, Missouri. Licensed in Missouri. Registered with an NPI since 2007.

Licensed in
MO
In the registry since
2007
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1705 Christy Dr Ste 105
Jefferson City, MO 65101-5195
Phone: (573) 659-5460
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Medical Laboratory (primary) Taxonomy 291U00000X (MO)

Record details

NPI number1659596161
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Johanna Lootens — Owner Manager · (573) 659-5460
NPI enumeratedApril 17, 2007
Last updated in NPPESAugust 22, 2020
Mailing address1705 Christy Dr Ste 105, Jefferson City, MO 65101-5195

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