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HEARTLAND DIAGNOSTICS LLC NPI 1881697613


NPI Information

NPI: 1881697613
Provider Name: HEARTLAND DIAGNOSTICS, LLC

Doing Business As: HEARTLAND IMAGING ELIZABETHTOWN, WOODLAND DRIVE

Classification: Physiological Laboratory - 293D00000X
Entity Type: Organization

CLIA Number: 18D1091931

Address:
1111 WOODLAND DR
ELIZABETHTOWN, KY
ZIP 42701
Phone: (270) 765-3700
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HEARTLAND DIAGNOSTICS, LLC is a physiological laboratory in Elizabethtown, KY. The provider is a laboratory that operates independently of a hospital and physician's office to furnish physiological diagnostic services (e.g. EEG's , EKG's, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services. HEARTLAND DIAGNOSTICS, LLC NPI is 1881697613. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Heartland Imaging Elizabethtown, Woodland Drive.

The provider's business location address is:

1111 WOODLAND DR
ELIZABETHTOWN, KY
ZIP 42701-749
Phone: (270) 765-3700
Fax: (270) 765-3704

The provider's authorized official is William Perry Baker .
The authorized official title is Secretary/cfo and has the following contact phone number (615) 261-2306.

The CLIA number assigned to this NPI record is 18D1091931 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/24/2005 and was last updated on 6/22/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12085R0202XRadiologyDiagnostic RadiologyNo
2261QR0200XClinic/CenterRadiologyNo
3293D00000XPhysiological LaboratoryYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
17100330440MEDICAIDKENTUCKY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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