Heartland Laboratories Inc

Primary specialty

Prosthetic/Orthotic SupplierTaxonomy code 335E00000X

License

ABCCPO1669 Issued in IA

Legal business name

HEARTLAND LABORATORIES INC

Doing business as

Tom Leisure Prosthetics

Practice address

4025 University Ave
Waterloo, IA 50701-5639

Phone

(641) 423-3410

Fax

(641) 423-5264

NPI assigned

May 4, 2009

Organization subpart

Yes

Parent organization

HEARTLAND LABORATORIES INC.As reported in NPPES

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

Authorized official

Name

Mr. Thomas S Leisure, CPO

Title

Owner

Phone

(641) 423-3410

Specialties & licenses 1

Addresses

Other names 1

• Tom Leisure Prosthetics Doing business as

Part of

Heartland Laboratories Inc

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Heartland Laboratories, Inc.

  • Prosthetic/Orthotic Supplier
  • Mason City, IA
  • NPI 1306935713
  NPPES parent name

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

{
    "created_epoch": "1241395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241395200000",
    "number": "1548494743",
    "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": "641-423-3410",
            "fax_number": "641-423-5264"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4025 UNIVERSITY AVE",
            "city": "WATERLOO",
            "state": "IA",
            "postal_code": "507015639",
            "telephone_number": "641-423-3410",
            "fax_number": "641-423-5264"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTLAND LABORATORIES INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HEARTLAND LABORATORIES INC.",
        "enumeration_date": "2009-05-04",
        "last_updated": "2009-05-04",
        "status": "A",
        "authorized_official_last_name": "LEISURE",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "641-423-3410",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "CPO"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "IA",
            "license": "ABCCPO1669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tom Leisure Prosthetics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Heartland Neurosurgical Services PLLC
• Mary Margaret Heatley, PA-C
• Kathryn Ann Heetland, ARNP
• Lisa Elaine Heiden-Kimball, LMHC
• Corinne Heiman, BCBA, LBA

• Prosthetic/Orthotic Supplier in Waterloo, IA
• Providers in Waterloo, IA by specialty
• Prosthetic/Orthotic Supplier in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2009; 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.