NPIMap

Organization Active NPI

Legacy Heart Clinic, LLC

  • Clinical Medical Laboratory
  • Dallas, TX
National Provider Identifier
1235544974
Registry record updated Oct 6, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
LEGACY HEART CLINIC, LLC
Practice address
12230 Coit Rd
Ste 120
Dallas, TX 75251-2322
Phone
(817) 423-4400
Fax
(817) 423-8080
NPI assigned
Jun 20, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Michael Gratch
Title
Ceo
Phone
(817) 423-4400

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

12230 Coit Rd
Ste 120
Dallas, TX 75251-2322

Mailing address

2500 West Fwy
Ste 200
Fort Worth, TX 76102-5848
Phone (817) 423-4400

Other names 1

  • Trinity Heart Care Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1403222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412553600000",
    "number": "1235544974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 WEST FWY",
            "address_2": "STE 200",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761025848",
            "telephone_number": "817-423-4400",
            "fax_number": "817-423-8080"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12230 COIT RD",
            "address_2": "STE 120",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752512322",
            "telephone_number": "817-423-4400",
            "fax_number": "817-423-8080"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEGACY HEART CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-20",
        "last_updated": "2014-10-06",
        "status": "A",
        "authorized_official_last_name": "GRATCH",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "817-423-4400"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Trinity Heart Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.