LABORATORY MEDICINE SPECIALISTS OF DULUTH (NPI# 1891758314) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891758314 |
| Entity Type | Organization |
| Organization Name | LABORATORY MEDICINE SPECIALISTS OF DULUTH |
| Practice Address |
1346 W Arrowhead Rd Duluth MN 55811-2218 |
| Mailing Address |
915 E 1st St Duluth MN 55805-2107 |
| Practice Telephone | 2182495208 |
| Practice Fax Number | 2187263007 |
| Mailing Telephone | 2182495208 |
| Mailing Fax Number | 2187263007 |
| Enumeration Date | 2006-04-07 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | SARAH LUNDEEN (TREASURER) |
| Authorized Official Telephone | 2182495208 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | 854 | MN | Laboratories |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | UCARE | 10447D011 | 01 |
| MN | BLUES | 42512LA | 01 |
| WI | 32787100 | 05 | |
| WI | ATRIUM GROUP HEALTH | 3986 | 01 |
| MN | AMERICA PPO | 596145 | 01 |
| MN | MEDICA | 1133017 | 01 |
| MN | HEALTHPARTNERS | 2098 | 01 |
| Street Address |
1346 W ARROWHEAD RD |
| City | DULUTH |
| State | MN |
| Zip Code | 55811-2218 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417515339 | Kyle Olson-merrick | Dentist | 320 W Myrtle St, Ste 100, Duluth, MN 55811 | 2019-06-05 |
| 1184288979 | Pdg, P.a. | Clinic/Center | 4891 Miller Truck Hwy., Suite 100, Hermantown, MN 55811 | 2019-04-26 |
| 1528589843 | Breanna Joy Greenly | Counselor | 4720 Burning Tree Road, Birch Tree Center, Duluth, MN 55811 | 2017-06-28 |
| 1396102398 | Debbie Christian | Registered Nurse | 4815 Burning Tree Rd Suite 100, Duluth, MN 55811 | 2016-01-21 |
| 1831556935 | Megan Marie Paris | Psychologist | 715 East Central Entrance, Duluth, MN 55811 | 2016-01-20 |
| 1740666908 | Angela Fedo | Physical Therapy Assistant | 2101 Trinity Rd, Duluth, MN 55811 | 2015-08-10 |
| 1649657479 | Kayla Stephenson | Specialist/Technologist | 5024 Morris Thomas Road, Hermantown, MN 55811 | 2015-04-30 |
| 1073918843 | Northern Lives Inc. | Assisted Living Facility | 4014 Trinity Road, Duluth, MN 55811 | 2014-10-23 |
| 1114326238 | Donald Hermanson | Specialist/Technologist | 801 Boulder Drive, Apt. 202, Duluth, MN 55811 | 2014-08-14 |
| 1679990857 | Jodie Little | Pharmacist | 801 W. Central Entrance, Shopko Pharmacy 2114, Duluth, MN 55811 | 2014-03-25 |
| Find all providers in zip 55811 | ||||
| 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 |
|---|---|---|---|---|
| 1467092700 | Qitek Labs, LLC | Clinical Medical Laboratory | 4375 River Green Pkwy Ste 200, Duluth, GA 30096-8319 | 2020-01-15 |
| 1932617917 | Infinite Laboratories Ga LLC | Clinical Medical Laboratory | 4300 Pleasant Hill Rd Ste A, Duluth, GA 30096-6379 | 2018-01-12 |
| 1154488849 | Dbs Labs Inc | Clinical Medical Laboratory | 8723 Falcon St, Duluth, MN 55808-1512 | 2007-01-02 |
| 1427041888 | Metametrix Inc | Clinical Medical Laboratory | 3425 Corporate Way, Duluth, GA 30096 | 2005-08-31 |
| 1235621087 | Georgia Laboratory Management LLC | Clinical Medical Laboratory | 4300 Pleasant Hill Rd Ste A, Duluth, GA 30096-6379 | 2018-06-06 |
| 1487027736 | Cota Medical Management | Clinical Medical Laboratory | 3750 Venture Dr, Suite 140, Duluth, GA 30096-1808 | 2015-11-09 |
| 1861812448 | Emory Johns Creek Hospital | Clinical Medical Laboratory | 6325 Hospital Pkwy, Duluth, GA 30097-5775 | 2014-04-22 |
| 1750636676 | Genova Diagnostics Inc | Clinical Medical Laboratory | 3425 Corporate Way, Duluth, GA 30096-2552 | 2012-07-17 |
| 1013151786 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 2660 Satellite Blvd, Duluth, GA 30096-5803 | 2009-04-27 |
| 1134382765 | Kaiser Foundation Health Plan of Georgia Inc. | Clinical Medical Laboratory | 3650 Steve Reynolds Blvd, Duluth, GA 30096-4506 | 2008-07-03 |
| Find all providers in DULUTH | ||||
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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.