Heartland Mobile Phlebotomy

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

Legal business name

HEARTLAND MOBILE PHLEBOTOMY

Practice address

604 S 8TH Ave
Wauchula, FL 33873-3122

Phone

(863) 245-6893

NPI assigned

Jun 7, 2024

Last updated

Jun 26, 2024By 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

Amber Douglas

Title

Owner/Phlebotomist

Phone

(863) 245-6893

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1717718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719360000000",
    "number": "1508608910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "604 S 8TH AVE",
            "city": "WAUCHULA",
            "state": "FL",
            "postal_code": "338733122",
            "telephone_number": "863-245-6893"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 S 8TH AVE",
            "city": "WAUCHULA",
            "state": "FL",
            "postal_code": "338733122",
            "telephone_number": "863-245-6893"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTLAND MOBILE PHLEBOTOMY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-07",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "status": "A",
        "authorized_official_last_name": "DOUGLAS",
        "authorized_official_first_name": "AMBER",
        "authorized_official_title_or_position": "OWNER/PHLEBOTOMIST",
        "authorized_official_telephone_number": "863-245-6893"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "246RP1900X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hardee Countyboard of County Commissioners
• Hardee FL Opco LLC
• Sarah Harvey, O.T.
• Heartland Chiropractic Trust
• Heartland Medicine, P.a.
• Heartland Pediatrics Association of Wauchula, P.a.
• Robert D Helveston I, D.C.
• Holiday CVS LLC (CVS Pharmacy# 02030)
• Joseph Holmes, D.D.S
• Brandi Horak, LMHC

• Clinic/Center in Wauchula, FL
• Providers in Wauchula, FL by specialty
• Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2024; 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.