Organization Active NPI

Heartland Laboratories, Inc.

  • Prosthetic/Orthotic Supplier
  • Mason City, IA
National Provider Identifier
1306935713
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
License
ABCCPO1669 Issued in IA
Legal business name
HEARTLAND LABORATORIES, INC.
Practice address
520 S Pierce Ave
Suite 206
Mason City, IA 50401-2749
Phone
(641) 423-3140
NPI assigned
Oct 12, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Tom Leisure
Title
Owner
Phone
(641) 512-6118

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X ABCCPO1669 IA Primary

Addresses

Primary practice location

520 S Pierce Ave
Suite 206
Mason City, IA 50401-2749

Mailing address

520 S Pierce Ave
Suite 206
Mason City, IA 50401-2749
Phone (641) 423-3140

National Provider Directory

National Provider Directory

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1306935713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 S PIERCE AVE",
            "address_2": "SUITE 206",
            "city": "MASON CITY",
            "state": "IA",
            "postal_code": "504012749",
            "telephone_number": "641-423-3140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 S PIERCE AVE",
            "address_2": "SUITE 206",
            "city": "MASON CITY",
            "state": "IA",
            "postal_code": "504012749",
            "telephone_number": "641-423-3140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTLAND LABORATORIES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LEISURE",
        "authorized_official_first_name": "TOM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "641-512-6118",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "IA",
            "license": "ABCCPO1669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mason City, IA

Sources for this page

  • 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.