HEARTLAND LABORATORIES INC (NPI# 1548494743) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548494743 |
| Entity Type | Organization |
| Organization Name | HEARTLAND LABORATORIES INC |
| Other Organization Name | TOM LEISURE PROSTHETICS |
| Practice Address |
4025 University Ave Waterloo IA 50701-5639 |
| Mailing Address |
520 S Pierce Ave Suite 206 Mason City IA 50401-2749 |
| Practice Telephone | 6414233410 |
| Practice Fax Number | 6414235264 |
| Mailing Telephone | 6414233410 |
| Mailing Fax Number | 6414235264 |
| Enumeration Date | 2009-05-04 |
| Last Update Date | 2009-05-04 |
| Authorized Official Name | MR. THOMAS S LEISURE (OWNER) |
| Authorized Official Telephone | 6414233410 |
| Authorized Official Credential | CPO |
| Is Organization Subpart | Y |
| Parent Organization Name | HEARTLAND LABORATORIES INC. |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 335E00000X | Prosthetic/Orthotic Supplier | ABCCPO1669 | IA | Suppliers |
| Other Name | Type Code |
|---|---|
| Tom Leisure Prosthetics | Doing Business As Name - Organization |
| Street Address |
4025 UNIVERSITY AVE |
| City | WATERLOO |
| State | IA |
| Zip Code | 50701-5639 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548757586 | Shawna Harvey | Optometrist | 999 Home Plz Ste 100, Waterloo, IA 50701 | 2018-04-16 |
| 1831693290 | Blue Gregory Boyer | Counselor | 3362 University Ave., Waterloo, IA 50701 | 2018-03-21 |
| 1518460666 | Tom Taylor | Specialist | 974 Home Plaza, Waterloo, IA 50701 | 2018-03-15 |
| 1194247551 | Homelink Sanford | Durable Medical Equipment & Medical Supplies | 1111 W San Marnan Drive, Waterloo, IA 50701 | 2017-07-07 |
| 1932471109 | Walgreens | Pharmacy | 111 W Ridgeway Avenue, Waterloo, IA 50701 | 2012-02-03 |
| 1598055188 | Knox Eyecare | Optometrist | 1030 Alabar Ave., Waterloo, IA 50701 | 2011-04-15 |
| 1013222330 | Ashley Lynn Charmichael | Dentist | 220 W. Ridgeway Ave., Suite 201, Waterloo, IA 50701 | 2010-08-11 |
| 1396062311 | Gwendoline Fang | Obstetrics & Gynecology | 1015 S. Hackett Road Suite 200, Department of Ob/gyn, Waterloo, IA 50701 | 2010-04-29 |
| 1013234194 | Ryan Norman Borgwardt | Dentist | 820 Fisher Drive, Waterloo, IA 50701 | 2010-04-28 |
| 1629302310 | Rhonda Kay Herum | Social Worker | 3731 Pheasant Lane #203, Waterloo, IA 50701 | 2009-09-28 |
| Find all providers in zip 50701 | ||||
| Taxonomy Code | 335E00000X |
| Grouping | Suppliers |
| Classification | Prosthetic/Orthotic Supplier |
| An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition. |
| Notes: Source: American Board for Certification in Orthotics, Prosthetics, and Pedorthics, Inc. [7/1/2010: modified, 7/1/2013: modified] Additional Resources: American Board for Certification in Orthotics, Prosthetics and Pedorthics, Inc., www.abcop.org and Board of Certification/Accreditation, International, www.bocusa.org. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326285735 | Advanced Arm Dynamics of The | Prosthetic/Orthotic Supplier | 527 Park Ln, Suite 500, Waterloo, IA 50702-5236 | 2009-01-08 |
| 1871669937 | Point Health Centers of America, Inc | Prosthetic/Orthotic Supplier | 1111 W San Marnan Dr, Waterloo, IA 50701-9007 | 2006-11-28 |
| 1164501441 | Clark and Associates, Inc. | Prosthetic/Orthotic Supplier | 527 Park Ln, Suite 100, Waterloo, IA 50702-5236 | 2006-11-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447723697 | Clark and Associates, Inc | Prosthetic/Orthotic Supplier | 3385 Dexter Ct Ste 107, Davenport, IA 52807-3494 | 2019-01-09 |
| 1851767735 | Chladek O & P Inc | Prosthetic/Orthotic Supplier | 3007 86th Street, Urbandale, IA 50322-4001 | 2015-08-14 |
| 1245632686 | American Prosthetics & Orthotics, Inc. | Prosthetic/Orthotic Supplier | 215 Duff Ave, Ames, IA 50010-6637 | 2014-09-17 |
| 1073924155 | Eyeprint Prosthetics | Prosthetic/Orthotic Supplier | 2221 Oak Rd Ne, North Liberty, IA 52317-9365 | 2014-05-12 |
| 1336561737 | Patrick Lavern Holt | Prosthetic/Orthotic Supplier | 1454 N Federal Ave, Mason City, IA 50401-1268 | 2014-01-20 |
| 1396177721 | Chi National Home Care | Prosthetic/Orthotic Supplier | 401 6th St, Suite A, Corning, IA 50841-1613 | 2013-08-08 |
| 1699107029 | Chi National Home Care | Prosthetic/Orthotic Supplier | 405 S Fremont St, Shenandoah, IA 51601-1505 | 2013-08-08 |
| 1902159858 | Shoe Mate | Prosthetic/Orthotic Supplier | 1011 88th St, West Des Moines, IA 50266-5857 | 2012-10-16 |
| 1174792873 | The Iowa Clinic PC | Prosthetic/Orthotic Supplier | 12655 University Ave, Ste 160, Clive, IA 50325 | 2008-02-27 |
| 1912184433 | Clark and Associates, Inc. | Prosthetic/Orthotic Supplier | 634 S Monroe Ave, Mason City, IA 50401-5041 | 2008-01-28 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.