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General NPI Number Information
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NPI Number | 1619978061
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Entity Type | Organization
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Legal Business Name | HEARTLAND HEALTH LABORATORIES, LLC
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Dates
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Enumeration Date | 08/09/2005
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Last Update Date | 09/23/2025
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Provider Practice Location Address
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Address Line | 10435 LACKMAN RD
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City | LENEXA
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State | KS
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Zip | 66219-1221
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Country | US
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Telephone | 832-932-5968
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Fax | 281-949-8599
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Provider Business Mailing Address
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Address Line | 16840 BUCCANEER LN STE 261
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City | HOUSTON
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State | TX
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Zip | 77058-2570
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Country | US
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Telephone | 832-932-5968
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Fax | 281-949-8599
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Authorized Official
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Title or Position | DIRECTOR OF BUSINESS OPERATIONS
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Name | BLAKE WERNER
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Credential |
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Telephone | 832-549-8355
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number | 17D1027382
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License Number State | KS
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