Healthcare Provider Details

I. General information

NPI: 1891758314
Provider Name (Legal Business Name): LABORATORY MEDICINE SPECIALISTS OF DULUTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/07/2006
Last Update Date: 04/07/2025
Certification Date: 04/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1346 W ARROWHEAD RD
DULUTH MN
55811-2218
US

IV. Provider business mailing address

915 E 1ST ST
DULUTH MN
55805-2107
US

V. Phone/Fax

Practice location:
  • Phone: 800-288-8325
  • Fax: 218-726-3007
Mailing address:
  • Phone: 218-249-5208
  • Fax: 218-726-3007

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207ZP0102X
TaxonomyAnatomic Pathology & Clinical Pathology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number854
License Number StateMN

VIII. Authorized Official

Name: SARAH LUNDEEN
Title or Position: TREASURER
Credential: MD
Phone: 800-288-8325