Organization Active NPI

Heartland Health Laboratories, LLC

  • Clinical Medical Laboratory
  • Lenexa, KS
National Provider Identifier
1619978061
Registry record updated Sep 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
17D1027382 Issued in KS
Legal business name
HEARTLAND HEALTH LABORATORIES, LLC
Practice address
10435 Lackman Rd
Lenexa, KS 66219-1221
Phone
(832) 932-5968
Fax
(281) 949-8599
NPI assigned
Aug 9, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2025

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

Authorized official

Name
Blake Werner
Title
Director of Business Operations
Phone
(832) 549-8355

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 17D1027382 KS Primary

Addresses

Primary practice location

10435 Lackman Rd
Lenexa, KS 66219-1221

Mailing address

16840 Buccaneer LN Ste 261
Houston, TX 77058-2570
Phone (832) 932-5968

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040902000548 KS Part B Supplier - Independent Clinical Laboratory 6709852627 Practice locations: Lenexa, KS

National Provider Directory

National Provider Directory

Locations

10435 Lackman Rd
Lenexa, KS 66219
Phone (832) 932-5968

13321 W 98th St
Lenexa, KS 66215
Phone (913) 643-4278

16840 Buccaneer Ln
Ste 261
Houston, TX 77058
Phone (832) 932-5968

NPI Registry JSON

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

{
    "created_epoch": "1123545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1758585600000",
    "number": "1619978061",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16840 BUCCANEER LN STE 261",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770582570",
            "telephone_number": "832-932-5968",
            "fax_number": "281-949-8599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10435 LACKMAN RD",
            "city": "LENEXA",
            "state": "KS",
            "postal_code": "662191221",
            "telephone_number": "832-932-5968",
            "fax_number": "281-949-8599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTLAND HEALTH LABORATORIES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-09",
        "last_updated": "2025-09-23",
        "certification_date": "2025-09-23",
        "status": "A",
        "authorized_official_last_name": "WERNER",
        "authorized_official_first_name": "BLAKE",
        "authorized_official_title_or_position": "DIRECTOR OF BUSINESS OPERATIONS",
        "authorized_official_telephone_number": "832-549-8355"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "KS",
            "license": "17D1027382",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lenexa, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.