St. Mary'S Duluth Clinic Health System
NPI 1205866928 · Clinical Medical Laboratory · Superior, WI
Enrolled with Medicare as Part B Supplier - Independent Clinical Laboratory · source: CMS PECOS Public Provider Enrollment (2026.04.01)
St. Mary'S Duluth Clinic Health System is a Clinical Medical Laboratory organization in Superior, WI (NPI 1205866928).
Provider details
- NPI number
- 1205866928
- Entity type
- Organization
- Primary specialty
- Clinical Medical LaboratoryLaboratories
- Parent organization
- St. Mary'S Duluth Clinic Health System
- Organization subpart
- Yes
- Authorized official
- Kevin Boren, Cfo(218) 786-1009
- License
- 52D0040190
Specialties & taxonomies
Laboratories
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
19 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
1 documented practice location
- Medicare service volume (vs. specialty peers)28% of score
481 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Blood Test, Basic Group of Blood Chemicals (calcium, Total)80048 | 76 | $8 |
| Manual Urinalysis Test With Examination Using Microscope, Automated81001 | 76 | $3 |
| Blood Test, Lipids (cholesterol and Triglycerides)80061 | 65 | $13 |
| Blood Test, Thyroid Stimulating Hormone (tsh)84443 | 55 | $16 |
| Complete Blood Cell Count (red Cells, White Blood Cell, Platelets), Automated Test and Automated Differential White Blood Cell Count85025 | 33 | $8 |
| Blood Test, Clotting Time85610 | 31 | $4 |
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-07-05
- Last updated
- 2017-12-28
Frequently asked questions
- What is St. Mary'S Duluth Clinic Health System's NPI number?
- St. Mary'S Duluth Clinic Health System's National Provider Identifier (NPI) is 1205866928, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is St. Mary'S Duluth Clinic Health System?
- St. Mary'S Duluth Clinic Health System is classified in the NPPES registry as Clinical Medical Laboratory (Laboratories).
- Where is St. Mary'S Duluth Clinic Health System located?
- St. Mary'S Duluth Clinic Health System's practice location on file with NPPES is 3500 Tower Ave, Superior, WI 54880-5335.
- What is St. Mary'S Duluth Clinic Health System's phone number?
- The practice phone number listed in the NPPES registry for St. Mary'S Duluth Clinic Health System is (715) 817-7520.
- Does St. Mary'S Duluth Clinic Health System accept Medicare?
- St. Mary'S Duluth Clinic Health System is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for St. Mary'S Duluth Clinic Health System?
- The authorized official listed on St. Mary'S Duluth Clinic Health System's NPPES record is Kevin Boren, Cfo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is St. Mary'S Duluth Clinic Health System's NPI active?
- Yes — St. Mary'S Duluth Clinic Health System's NPI (1205866928) is active in the NPPES registry as of the last update on 2017-12-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.