Provider Demographics
NPI:1821361775
Name:DULUTHCARE
Entity Type:Organization
Organization Name:DULUTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:KARLA
Authorized Official - Middle Name:MICHELE
Authorized Official - Last Name:HUSEBY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:218-727-2367
Mailing Address - Street 1:802 GARFIELD AVE
Mailing Address - Street 2:STE #101
Mailing Address - City:DULUTH
Mailing Address - State:MN
Mailing Address - Zip Code:55802-2640
Mailing Address - Country:US
Mailing Address - Phone:218-727-2367
Mailing Address - Fax:866-339-5313
Practice Address - Street 1:802 GARFIELD AVE
Practice Address - Street 2:STE #101
Practice Address - City:DULUTH
Practice Address - State:MN
Practice Address - Zip Code:55802-2640
Practice Address - Country:US
Practice Address - Phone:218-727-2367
Practice Address - Fax:866-339-8313
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-02-22
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251E00000X
MN291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
No251E00000XAgenciesHome Health