Active NPI
Radiological Associates of Duluth
- Diagnostic Radiology Physician
- Hibbing, MN
National Provider Identifier
1699956391
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- RADIOLOGICAL ASSOCIATES OF DULUTH
- Doing business as
- Hibbing Imaging Center
- Practice address
- 1101 E 37TH St
Suite 30
Hibbing, MN 55746-2971 - Phone
- (218) 312-1200
- Fax
- (218) 312-1201
- NPI assigned
- Nov 21, 2007
- Organization subpart
- Yes
- Parent organization
- RADIOLOGICAL ASSOCIATES OF DULUTH
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Frank J Suslavich, M.D.
- Title
- President
- Phone
- (218) 722-3700
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | Primary |
Addresses
Primary practice location
1101 E 37TH St
Suite 30
Hibbing, MN 55746-2971
Mailing address
1101 E 37TH St
Suite 30
Hibbing, MN 55746-2971
Phone (218) 312-1200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 695210100 | Medicaid | MN |
Other names 1
- Hibbing Imaging Center
National Provider Directory
National Provider Directory- Part of
- Radiological Associates
Locations
1101 E 37th St
Ste 30
Hibbing, MN 55746
Phone (218) 312-1200
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Diagnostic Radiology Physician
- Duluth, MN
- NPI 1982661070
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1195603200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1213920000000",
"number": "1699956391",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1101 E 37TH ST",
"address_2": "SUITE 30",
"city": "HIBBING",
"state": "MN",
"postal_code": "557462971",
"telephone_number": "218-312-1200",
"fax_number": "218-312-1201"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 E 37TH ST",
"address_2": "SUITE 30",
"city": "HIBBING",
"state": "MN",
"postal_code": "557462971",
"telephone_number": "218-312-1200",
"fax_number": "218-312-1201"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "RADIOLOGICAL ASSOCIATES OF DULUTH",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "RADIOLOGICAL ASSOCIATES OF DULUTH",
"enumeration_date": "2007-11-21",
"last_updated": "2008-06-20",
"status": "A",
"authorized_official_last_name": "SUSLAVICH",
"authorized_official_first_name": "FRANK",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "218-722-3700",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "695210100",
"state": "MN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Hibbing Imaging Center",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Hibbing, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.