NPIMap

Organization Active NPI

Firstsolutions

Doing business as SuperiorHealth Center

  • Clinical Medical Laboratory
  • Duluth, MN
National Provider Identifier
1871635706
Registry record updated May 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
24D0404121 Issued in MN
Legal business name
FIRSTSOLUTIONS
Doing business as
SuperiorHealth Center
Practice address
1502 London Rd
Suite 102
Duluth, MN 55812-1788
Phone
(218) 727-8228
Fax
(218) 733-1325
NPI assigned
Feb 14, 2007
Organization subpart
Yes
Parent organization
FIRSTSOLUTIONSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 14, 2010

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

Authorized official

Name
Mr. Terry R Jacobson
Title
Ceo
Phone
21874002330

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 24D0404121 MN Primary

Addresses

Primary practice location

1502 London Rd
Suite 102
Duluth, MN 55812-1788

Mailing address

1502 London Rd
Suite 102
Duluth, MN 55812-1788
Phone (218) 727-8228

Other names 1

  • SuperiorHealth Center Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Community Health Ctr in3 organizations share this tax ID, including this one
Part of
Community Health Ctr in

Other organizations with this tax ID 2

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": "1171411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1273795200000",
    "number": "1871635706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1502 LONDON RD",
            "address_2": "SUITE 102",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558121788",
            "telephone_number": "218-727-8228",
            "fax_number": "218-733-1325"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1502 LONDON RD",
            "address_2": "SUITE 102",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558121788",
            "telephone_number": "218-727-8228",
            "fax_number": "218-733-1325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FIRSTSOLUTIONS",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "FIRSTSOLUTIONS",
        "enumeration_date": "2007-02-14",
        "last_updated": "2010-05-14",
        "status": "A",
        "authorized_official_last_name": "JACOBSON",
        "authorized_official_first_name": "TERRY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "21874002330",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "MN",
            "license": "24D0404121",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SuperiorHealth Center",
            "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 May 14, 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.