Organization
HEARTLAND LABORATORIES INC
Active
Parent organization
HEARTLAND LABORATORIES INC.
Other names
Tom Leisure Prosthetics
Organization subpart
Yes
Provider details
NPI number
Legal business name
HEARTLAND LABORATORIES INC.
Authorized official
MR. THOMAS S LEISURE CPO (OWNER)
(641) 423-3410
Entity
Organization
Contact information
Practice address
4025 UNIVERSITY AVE, WATERLOO, IA 50701-5639
(641) 423-3410
(641) 423-5264
Mailing address
520 S PIERCE AVE, SUITE 206, MASON CITY, IA 50401-2749
(641) 423-3410
(641) 423-5264
Taxonomy
Speciality
Code
Description
License number
State
335E00000X
Prosthetic/Orthotic Supplier
Primary
ABCCPO1669
IA
Other
Enumeration date
05/04/2009
Last updated
05/04/2009
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