Organization Active NPI

Northern Imaging of Duluth LLC

Doing business as St Lukes Center for Diagnostic Imaging

  • Diagnostic Radiology Physician
  • Duluth, MN
National Provider Identifier
1558338996
Registry record updated Sep 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
NORTHERN IMAGING OF DULUTH LLC
Doing business as
St Lukes Center for Diagnostic Imaging
Practice address
930 E 2ND St
Duluth, MN 55805
Phone
(218) 722-5390
Fax
(218) 722-7501
NPI assigned
Mar 3, 2006
Last updated
Sep 10, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2010

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

Authorized official

Name
James F. Stanley
Title
Officer (Cfo)
Phone
(952) 543-6504

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology Physician 2085R0202X Primary

Addresses

Primary practice location

930 E 2ND St
Duluth, MN 55805

Mailing address

PO Box 1450
NW 7612
Minneapolis, MN 55485-7612
Phone (218) 722-5390

Other names 1

  • St Lukes Center for Diagnostic Imaging Doing business as

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Locations

930 E 2nd St
Duluth, MN 55805
Phone (218) 249-3068

Nw7612
Minneapolis, MN 55485

NPI Registry JSON

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

{
    "created_epoch": "1141344000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1284076800000",
    "number": "1558338996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1450",
            "address_2": "NW 7612",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554857612",
            "telephone_number": "218-722-5390",
            "fax_number": "218-722-7501"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 E 2ND ST",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "55805",
            "telephone_number": "218-722-5390",
            "fax_number": "218-722-7501"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTHERN IMAGING OF DULUTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-03",
        "last_updated": "2010-09-10",
        "status": "A",
        "authorized_official_last_name": "STANLEY",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "OFFICER (CFO)",
        "authorized_official_telephone_number": "952-543-6504"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "St Lukes Center for Diagnostic Imaging",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 Sep 10, 2010; 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.