Organization
HERITAGE LABORATORY SYSTEMS
Active
Other names
Heritage Laboratory Mesquite
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAYMOND EUGENE DAVIS JR. MT (CEO)
(972) 698-0586
Entity
Organization
Contact information
Practice address
15330 LBJ FWY, SUITE 301 BOX 12, MESQUITE, TX 75150-1223
(972) 698-0586
Mailing address
15330 LBJ FWY, SUITE 301 BOX 12, MESQUITE, TX 75150-1223
(972) 698-0586
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
07/06/2011
Last updated
08/01/2011
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