NPI 1548494743

Heartland Laboratories INC

Organisation Prosthetic/Orthotic Supplier Waterloo, IA

Practice location

Address: 4025 University Ave, Waterloo, IA 50701-5639
Phone: (641) 423-3410
Fax: (641) 423-5264
Mailing address: 520 S Pierce Ave Suite 206, Mason City, IA 50401-2749

Authorised official

Name: Thomas S Leisure
Title: Owner
Phone: (641) 423-3410

Registered specialties

Prosthetic/Orthotic Supplier Primary

Suppliers Taxonomy 335E00000X Licence ABCCPO1669 (IA)

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Registry record

NPI: 1548494743
Entity type: Organization
NPI issued: 4 May 2009
Record last updated: 4 May 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.