Irving Laboratories PA

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

Legal business name

IRVING LABORATORIES PA

Practice address

1901 N Macarthur Blvd
Irving, TX 75061

Phone

(972) 271-9805

Fax

(972) 840-2884

NPI assigned

Jul 8, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. James Belton Ketchersid, MD

Title

President

Phone

(972) 579-8291

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Irving Laboratories Inc Former legal business name

Locations

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1285667717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 201624",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753201624",
            "telephone_number": "972-271-9805",
            "fax_number": "972-840-2884"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 N MACARTHUR BLVD",
            "city": "IRVING",
            "state": "TX",
            "postal_code": "75061",
            "telephone_number": "972-271-9805",
            "fax_number": "972-840-2884"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRVING LABORATORIES PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KETCHERSID",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "BELTON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "972-579-8291",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "BB07",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Irving Laboratories Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Anatomic Pathology & Clinical Pathology Physician in Irving, TX
• Providers in Irving, TX by specialty
• Anatomic Pathology & Clinical Pathology Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.