MEDICARE: PROLINE LABS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	291U00000X	Clinical Medical Laboratory

General Provider Information

NPI Number	:	1427812916
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PROLINE LABS

Provider Business Mailing Address
First Line	:	11140 LA QUINTA PL # 101B
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79936-5227
Country	:	US
Telephone Number	:	915-494-2611
Fax Number	:

Provider Business Practice Location Address
First Line	:	11140 LA QUINTA PL STE 101B
Second Line	:
City	:	EL PASO
State	:	TX
Zip	:	79936-5227
Country	:	US
Telephone Number	:	915-494-2611
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	JEFFREY RODRIGUEZ
Credential	:
Telephone Number	:	915-494-2611

Provider Enumeration Date	:	02/06/2024
Last Update Date	:	08/05/2024

Similar Medicare Providers

1093730848 — MR. CHIGOZIE GILBERT OGUH
Practice Location Address:

11140 LA QUINTA PL STE 101
EL PASO, TX
79936-5227

Practice Phone: 915-593-0603
Practice Fax: 915-593-3378

1073096178 — CLINICAL LABORATORY ASSOCIATES OF EL PASO LLC
Practice Location Address:

11140 LA QUINTA PL STE 101B
EL PASO, TX
79936-5227

Practice Phone: 915-262-4300
Practice Fax: 915-262-0253

1710741285 — JEFFREY RODRIGUEZ
Practice Location Address:

11140 LA QUINTA PL STE 101B
EL PASO, TX
79936-5227

Practice Phone: 915-494-2611
Practice Fax:

1265209175 — KRISTI SIMMONS PTA
Practice Location Address:

2120 PINEWOOD DR
EL DORADO, AR
71730-5227

Practice Phone: 615-720-7994
Practice Fax:

1598637316 — MS. AMY C MILLS RD
Practice Location Address:

5227 EL CAMPO AVE
FORT WORTH, TX
76107-4841

Practice Phone: 817-296-4615
Practice Fax:

1073446019 — LESLIE ROMERO
Practice Location Address:

3481 BELLWETHER DR
EL PASO, TX
79936-0278

Practice Phone: 915-920-2660
Practice Fax:

Directions to “PROLINE LABS ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.