HEARTLAND DIAGNOSTIC SERVICES LLC (NPI# 1861432361) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861432361 |
| Entity Type | Organization |
| Organization Name | HEARTLAND DIAGNOSTIC SERVICES LLC |
| Practice Address |
3290 20th St S Fargo ND 58104-5917 |
| Practice Telephone | 7014994800 |
| Practice Fax Number | 7014994887 |
| Mailing Telephone | 7014994800 |
| Mailing Fax Number | 7014994887 |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2013-04-02 |
| Authorized Official Name | MARGARET S GILBERTSON (PRACTICE MANAGER) |
| Authorized Official Telephone | 7014994807 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2471C3402X |
Radiologic Technologist Specialization: Radiography |
Technologists, Technicians & Other Technical Service Providers | ||
| Y | 291U00000X | Clinical Medical Laboratory | Laboratories |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | MN BLUE SHIELD | 600R3HE | 01 |
| ND | 13493 | 05 | |
| ND | ND BLUE SHIELD | 024761 | 01 |
| MN | 155137000 | 05 | |
| MN | 695294100 | 05 | |
| MN | MN BLUE SHIELD | 600R4HE | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033386859 | Heartland Diagnostic Services LLC | Radiologic Technologist | 3280 20th St S, Fargo, ND 58104-5917 | 2008-05-12 |
| Street Address |
3290 20TH ST S |
| City | FARGO |
| State | ND |
| Zip Code | 58104-5917 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811991607 | Hoadley Howe Harris | Family Medicine | 3290 20th St S, Fargo, ND 58104-5917 | 2005-06-09 |
| 1245541051 | Cristy Brosowske | Physician Assistant | 3290 20th St S, Fargo, ND 58104-5917 | 2010-06-25 |
| 1073698460 | Plains Medical Clinic, LLC | Durable Medical Equipment & Medical Supplies | 3290 20th St S, Fargo, ND 58104-5923 | 2006-10-26 |
| 1790789576 | Joel Floyd Schock Iv | Family Medicine | 3290 20th St S, Fargo, ND 58104-5917 | 2005-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043837347 | Pinnacle Therapy & Wellness, Pllc | Physical Therapist | 4500 36th Ave S Suite 100, Fargo, ND 58104 | 2020-07-02 |
| 1619509858 | Patricia Helen Bathie | Counselor | 4243 Auburn Ave., Fargo, ND 58104 | 2020-02-05 |
| 1346892866 | Elizabeth Olis | Registered Nurse | 2633 55th St. S, Apartment 202, Fargo, ND 58104 | 2019-07-15 |
| 1780247023 | Keith Kirimi Ndege | Physical Therapy Assistant | 5225 23rd Ave South, Fargo, ND 58104 | 2019-04-22 |
| 1346728557 | Ms4 Pllc | Pharmacy | 4476 31st Avenue South, Suite #105, Fargo, ND 58104 | 2018-07-31 |
| 1891286977 | Jessica Rae Majidian | Dentist | 3030 49th St S, Fargo, ND 58104 | 2018-05-23 |
| 1821588500 | Alissa Nichole Larson | Pharmacist | 5675 26th Ave S St. 136a, Fargo, ND 58104 | 2018-05-17 |
| 1790297430 | Northern Lights Dental | Dentist | 4150 19th Ave S, Suite 301, Fargo, ND 58104 | 2017-11-03 |
| 1619406733 | Cobalt Rehabilitation Hospital Fargo LLC | Rehabilitation Hospital | 4671 38th Street S, Fargo, ND 58104 | 2017-06-12 |
| 1790210318 | Homefield Health, LLC | Clinic/Center | 4141 31st Ave S., Ste 102, Fargo, ND 58104 | 2017-04-21 |
| Find all providers in zip 58104 | ||||
| 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 |
|---|---|---|---|---|
| 1275898678 | Pracs Institute Management, LLC | Clinical Medical Laboratory | 4801 Amber Valley Pkwy S, Fargo, ND 58104-8623 | 2012-07-11 |
| 1609144294 | Sanford Clinic North | Clinical Medical Laboratory | 2601 Broadway N, Fargo, ND 58102-6704 | 2011-12-09 |
| 1164652640 | Sanford Clinic North | Clinical Medical Laboratory | 737 Broadway, Fargo, ND 58122-0045 | 2009-07-20 |
| 1174680052 | Sanford Clinic North | Clinical Medical Laboratory | 1720 University Dr S, Fargo, ND 58103-4940 | 2007-01-02 |
| 1225194574 | Sanford Clinic North | Clinical Medical Laboratory | 737 Broadway, Fargo, ND 58122-0040 | 2006-12-29 |
| 1740220391 | Dakota Clinic, Ltd. | Clinical Medical Laboratory | 1702 University Dr S, Fargo, ND 58103-4940 | 2006-06-08 |
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|---|---|---|---|---|
| 1588004410 | Medscan Laboratory Inc | Clinical Medical Laboratory | 1502 13th Ave, Suite 201, Williston, ND 58801-3825 | 2013-06-25 |
| 1346307774 | Pathology & Imaging Consultants, PC | Clinical Medical Laboratory | 1410 3rd Ave Sw, Minot, ND 58701-3658 | 2007-01-03 |
| 1356449136 | Northwood Deaconess Health Center | Clinical Medical Laboratory | 4 North Park St, Northwood, ND 58267-0190 | 2006-09-20 |
| 1356875553 | Vitas Laboratory LLC | Clinical Medical Laboratory | 1191 S Columbia Rd, Grand Forks, ND 58201-4033 | 2017-04-13 |
| 1700130515 | Sanford West | Clinical Medical Laboratory | 300 N 7th St, Bismarck, ND 58501-4439 | 2012-10-31 |
| 1316273998 | Trinity Health | Clinical Medical Laboratory | 1321 W Dakota Pkwy, Williston, ND 58801-3807 | 2009-11-02 |
| 1902949845 | Trinity Health | Clinical Medical Laboratory | 1102 Main St, Williston, ND 58801-4233 | 2007-02-14 |
| 1154485944 | Sanford Bismarck | Clinical Medical Laboratory | 222 N 7th St, Bismarck, ND 58501-4436 | 2006-12-19 |
| 1780788380 | Trenton Indian Service Area | Clinical Medical Laboratory | 331 4th Ave E, Trenton, ND 58853-9998 | 2006-09-12 |
| 1104862606 | Aurora Medical Park Laboratory LLC | Clinical Medical Laboratory | 1451 44th Ave S, Unit D, Suite H, Grand Forks, ND 58201-3434 | 2006-06-22 |
| 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.