Active NPI
Heritage Laboratory Systems, LLC
- Clinical Medical Laboratory
- Forney, TX
National Provider Identifier
1659660223
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- HERITAGE LABORATORY SYSTEMS, LLC
- Practice address
- 763 E US Highway 80
Suite 260
Forney, TX 75126-8633 - Phone
- (214) 244-6547
- Fax
- (469) 548-6837
- NPI assigned
- Apr 4, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Raymond Eugene Davis Jr.
- Title
- Ceo/President
- Phone
- (214) 244-6547
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Primary |
Addresses
Primary practice location
763 E US Highway 80
Suite 260
Forney, TX 75126-8633
Mailing address
4010 Heavenly Way
Heartland, TX 75126-8269
Phone (214) 244-6547
National Provider Directory
National Provider DirectoryLocations
15330 Lyndon B Johnson Fwy
Ste 301
Mesquite, TX 75150
Phone (214) 244-6547
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Anatomic Pathology & Clinical Pathology Physician
- Athens, TX
- NPI 1922088731
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1301875200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1301875200000",
"number": "1659660223",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4010 HEAVENLY WAY",
"city": "HEARTLAND",
"state": "TX",
"postal_code": "751268269",
"telephone_number": "214-244-6547",
"fax_number": "469-548-6837"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "763 E US HIGHWAY 80",
"address_2": "SUITE 260",
"city": "FORNEY",
"state": "TX",
"postal_code": "751268633",
"telephone_number": "214-244-6547",
"fax_number": "469-548-6837"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HERITAGE LABORATORY SYSTEMS, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2011-04-04",
"last_updated": "2011-04-04",
"status": "A",
"authorized_official_last_name": "DAVIS",
"authorized_official_first_name": "RAYMOND",
"authorized_official_middle_name": "EUGENE",
"authorized_official_title_or_position": "CEO/PRESIDENT",
"authorized_official_telephone_number": "214-244-6547",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "Jr."
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Forney, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.