Organization Active NPI

Laboratory Medicine Specialists of Duluth

  • Anatomic Pathology & Clinical Pathology Physician
  • Duluth, MN
National Provider Identifier
1891758314
Registry record updated Apr 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
Legal business name
LABORATORY MEDICINE SPECIALISTS OF DULUTH
Practice address
1346 W Arrowhead Rd
Duluth, MN 55811-2218
Phone
(800) 288-8325
Fax
(218) 726-3007
NPI assigned
Apr 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 7, 2025

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

Authorized official

Name
Sarah Lundeen, MDNPI 1215087119
Title
Treasurer
Phone
(800) 288-8325

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207ZP0102X Primary
Clinical Medical Laboratory 291U00000X 854 MN

Addresses

Primary practice location

1346 W Arrowhead Rd
Duluth, MN 55811-2218

Mailing address

915 E 1St St
Duluth, MN 55805-2107
Phone (218) 249-5208

Other identifiers 9

IdentifierTypeStateIssuer
218893600OtherMNUS POSTAL SERVICE
2098OtherMNHEALTHPARTNERS
3986OtherWIATRIUM GROUP HEALTH
1133017OtherMNMEDICA
10447D011OtherMNUCARE
42512LAOtherMNBLUES
32787100MedicaidWI
596145OtherMNAMERICA PPO
342312300MedicaidMN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20031209000464 MN Part B Supplier - Clinic/Group Practice 6709782964 Receives reassigned benefits from 4 practitioners
Practice locations: Duluth, MN

National Provider Directory

National Provider Directory

Locations

915 E 1st St
Ste 302
Duluth, MN 55805
Phone (218) 249-5208

328 Canal Park Dr
Duluth, MN 55802
Phone (218) 722-0237

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1144368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743984000000",
    "number": "1891758314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 E 1ST ST",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558052107",
            "telephone_number": "218-249-5208",
            "fax_number": "218-726-3007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1346 W ARROWHEAD RD",
            "city": "DULUTH",
            "state": "MN",
            "postal_code": "558112218",
            "telephone_number": "800-288-8325",
            "fax_number": "218-726-3007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LABORATORY MEDICINE SPECIALISTS OF DULUTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-04-07",
        "last_updated": "2025-04-07",
        "certification_date": "2025-04-07",
        "status": "A",
        "authorized_official_last_name": "LUNDEEN",
        "authorized_official_first_name": "SARAH",
        "authorized_official_title_or_position": "TREASURER",
        "authorized_official_telephone_number": "800-288-8325",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "MN",
            "license": "854",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "US POSTAL SERVICE",
            "identifier": "218893600",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHPARTNERS",
            "identifier": "2098",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ATRIUM GROUP HEALTH",
            "identifier": "3986",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "1133017",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE",
            "identifier": "10447D011",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUES",
            "identifier": "42512LA",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "32787100",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICA PPO",
            "identifier": "596145",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "342312300",
            "state": "MN"
        }
    ],
    "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 Apr 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.