Organization Active NPI

Duluth Surgical Suites LLC

  • Ambulatory Surgical Clinic/Center
  • Duluth, MN
National Provider Identifier
1356988554
Registry record updated Dec 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X
Legal business name
DULUTH SURGICAL SUITES LLC
Practice address
2118 London Rd
Duluth, MN 55812-2127
Phone
(218) 481-7812
Fax
(218) 481-7820
NPI assigned
Dec 6, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Sarah Lynn Soderholm
Title
Business Office Manager
Phone
(218) 481-7812

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Ambulatory Surgical Clinic/Center 261QA1903X Primary

Addresses

Primary practice location

2118 London Rd
Duluth, MN 55812-2127

Mailing address

2118 London Rd
Duluth, MN 55812-2127
Phone (218) 481-7812

National Provider Directory

National Provider Directory
Tax ID family
Duluth Surgical Suites2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1575590400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575590400000",
    "number": "1356988554",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2118 LONDON RD",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558122127",
            "telephone_number": "218-481-7812",
            "fax_number": "218-481-7820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2118 LONDON RD",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558122127",
            "telephone_number": "218-481-7812",
            "fax_number": "218-481-7820"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DULUTH SURGICAL SUITES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-06",
        "last_updated": "2019-12-06",
        "status": "A",
        "authorized_official_last_name": "SODERHOLM",
        "authorized_official_first_name": "SARAH",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "BUSINESS OFFICE MANAGER",
        "authorized_official_telephone_number": "218-481-7812"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Duluth, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.