HEARTLAND LABORATORY INC (NPI# 1790976686) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790976686 |
| Entity Type | Organization |
| Organization Name | HEARTLAND LABORATORY INC |
| Practice Address |
221 S Main St Chaffee MO 63740-1040 |
| Practice Telephone | 5738873632 |
| Practice Fax Number | 5738873635 |
| Mailing Telephone | 5738873632 |
| Mailing Fax Number | 5738873635 |
| Enumeration Date | 2007-08-06 |
| Last Update Date | 2010-03-22 |
| Authorized Official Name | DR. WILLIAM F BLANK (PATHOLOGIST) |
| Authorized Official Telephone | 57388736321 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | 34699 | MO | Laboratories |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | PATHOLOGY | 036081467 | 01 |
| MO | PATHOLOGY | 207ZD0900X MO | 01 |
| Street Address |
221 S MAIN ST |
| City | CHAFFEE |
| State | MO |
| Zip Code | 63740-1040 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033216924 | Bobby Tom Moudy | Dentist | 135 West Yoakum, Chaffee, MO 63740 | 2006-09-20 |
| 1740260652 | William F Blank Jr. | Pathology | 221 S Main, Chaffee, MO 63740 | 2006-01-18 |
| 1750697322 | Carter P Fenton Sr Clinics Inc | Family Medicine | 206 S Main St, Chaffee, MO 63740-1002 | 2010-08-20 |
| 1972726446 | Carter P Fenton Sr. | Family Medicine | 206 S Main St, Chaffee, MO 63740-1002 | 2007-04-11 |
| 1861893737 | Chance Eric White | Physical Therapist | 407 E Parker Ave, Chaffee, MO 63740-1030 | 2014-09-10 |
| 1427572007 | Missouri Delta Medical Center | Clinic/Center | 209 W Yoakum Ave, Chaffee, MO 63740-1138 | 2017-07-26 |
| 1457762783 | Terri Semmler | Physical Therapy Assistant | 243 W Yoakum Ave, Chaffee, MO 63740-1138 | 2014-05-08 |
| 1033166517 | Kiefer Thompson Pharma | Durable Medical Equipment & Medical Supplies | 211 W Yoakum Ave, Chaffee, MO 63740-1138 | 2006-05-28 |
| 1609248822 | Fit24, LLC | Physical Therapist | 243 W Yoakum Ave, Chaffee, MO 63740-1138 | 2015-10-27 |
| 1174903504 | Nancy Blattel | Physical Therapy Assistant | 243 W Yoakum Ave, Chaffee, MO 63740-1138 | 2015-06-01 |
| Find all providers in zip 63740 | ||||
| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962009498 | Polk Medical Testing Solutions LLC | Clinical Medical Laboratory | 3430 Mckelvey Rd Ste L, Bridgeton, MO 63044-2556 | 2020-10-07 |
| 1467070011 | C2n Diagnostics, LLC | Clinical Medical Laboratory | 20 South Sarah Street, Saint Louis, MO 63108 | 2020-07-10 |
| 1942825633 | Midwest Innovation Laboratory LLC | Clinical Medical Laboratory | 763 S New Ballas Rd Ste 140, Saint Louis, MO 63141-8704 | 2020-06-09 |
| 1588288815 | Mobile Response Diagnostics LLC | Clinical Medical Laboratory | 7739 Folk Ave, Maplewood, MO 63143-1116 | 2020-06-02 |
| 1740801893 | Kbn Diagnostics, LLC | Clinical Medical Laboratory | 11612 Oak St, Kansas City, MO 64114-5623 | 2020-04-29 |
| 1477172062 | David Eric Arnold | Clinical Medical Laboratory | 2309 Time Centre Dr, Saint Charles, MO 63303-2104 | 2020-04-13 |
| 1104474360 | Mmi Laboratory Services, LLC | Clinical Medical Laboratory | 1927 S National Ave Ste A, Springfield, MO 65804-2279 | 2019-08-30 |
| 1265084206 | Helix Specialty Diagnostics | Clinical Medical Laboratory | 2515 Bernadette Dr, Columbia, MO 65203-4674 | 2019-07-10 |
| 1851955934 | Precision Labs LLC | Clinical Medical Laboratory | 12855 N Outer 40 Dr Ste 194, Saint Louis, MO 63141-8622 | 2019-04-24 |
| 1316407265 | Integrity Diagnostics LLC | Clinical Medical Laboratory | 12855 N 40 Dr Ste 345, Saint Louis, MO 63141-8622 | 2019-03-25 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on HEARTLAND LABORATORY INC.
| 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.