Williston Radiology Consultants

LBN: Fairlight Medical Center
Williston Radiology Consultants is an health care organization with primary practice located at 3 4Th St E , Williston ND 58801-5350. The organization recently has only one registered license in Ambulatory Health Care Facilities / Urgent Care, which is considered as the primary health care specialty. Fairlight Medical Center can be contacted via phone (701) 577-6337, or through Jaszczak, Leszek J via phone (701) 577-6337.

Contact Information

Primary practice address
3 4Th St E Williston ND 58801-5350
Fax: (701) 577-4867
Website:
Authorized official contact:
Name: Jaszczak, Leszek J Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Urgent Care 261QU0200X 6414 North Dakota

Profile Details

NPI number 1811162811
LBN Legal business name Fairlight Medical Center
DBA Doing business as Williston Radiology Consultants
Authorized official Jaszczak, Leszek J Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 Yes
Enumeration date Apr 30th, 2008
Last updated Mar 13th, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1811162811 NPPES
North Dakota Other 109956169 DUNS
North Dakota Other 269-961-7243 DUNS
North Dakota Other 621-111 DUNS
North Dakota MEDICAID 010182 DUNS
North Dakota MEDICAID 0406731 DUNS

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