Organization
HERITAGE LABORATORY SYSTEMS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RAYMOND EUGENE DAVIS JR. (CEO/PRESIDENT)
(214) 244-6547
Entity
Organization
Contact information
Practice address
763 E US HIGHWAY 80, SUITE 260, FORNEY, TX 75126-8633
(214) 244-6547
(469) 548-6837
Mailing address
4010 HEAVENLY WAY, HEARTLAND, TX 75126-8269
(214) 244-6547
(469) 548-6837
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
04/04/2011
Last updated
04/04/2011
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