Heritage Laboratory Inc

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

HERITAGE LABORATORY INC

Practice address

7895 Broadway Ste V1
Merrillville, IN 46410-5529

Phone

(224) 735-6279

NPI assigned

Nov 13, 2019

Last updated

Jul 14, 2021By 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

Jesus Ramirez

Title

Managing Director

Phone

(224) 735-6279

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1573603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626220800000",
    "number": "1457996522",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25716 S STONEY ISLAND AVE",
            "city": "CRETE",
            "state": "IL",
            "postal_code": "604178020",
            "telephone_number": "224-735-6279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7895 BROADWAY STE V1",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464105529",
            "telephone_number": "224-735-6279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE LABORATORY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-13",
        "last_updated": "2021-07-14",
        "certification_date": "2021-07-14",
        "status": "A",
        "authorized_official_last_name": "RAMIREZ",
        "authorized_official_first_name": "JESUS",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "224-735-6279"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Brianna Henning, MSW
• Amanda Hensley
• Sarah Ann Herbert
• Megan Herbst, RBT
• Carissa Herendeen
• Alexis Hernandez
• Angelique Hernandez
• Lisa Marie Hernandez, CADACII
• Sherri Lynn Hernandez, NP
• Jason Herr, LMHC, CP

• Clinical Medical Laboratory in Merrillville, IN
• Providers in Merrillville, IN by specialty
• Clinical Medical Laboratory in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2021; 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.