WILLISTON RADIOLOGY CONSULTANTS
NPI 1811162811
Clinic/Center - Urgent Care in Williston, ND

Active since April 30, 2008
3 4TH ST E, WILLISTON, ND 58801(701) 577-6337(701) 577-4867 Get Directions Write a Review

NPPES record last updated: March 13, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Williston Radiology Consultants NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WILLISTON RADIOLOGY CONSULTANTS (NPI 1811162811) is a healthcare organization registered as an urgent care in Williston, North Dakota and active in the NPI registry since April 2008. The organization lists Leszek J Jaszczak, President/owner, as its authorized official.

NPPES Registry Identity

NPI1811162811
Entity TypeOrganization
Primary Taxonomy261QU0200X
Legal Business NameFAIRLIGHT MEDICAL CENTER
Location Address3 4TH ST EWilliston, ND 58801-5350
Mailing Address3 East 4th Street, Po Box 1148Williston, ND 58802-1148 · (701) 577-6337 · Fax (701) 577-4867
Fax(701) 577-4867
Organization SubpartYesParent: Williston Radiology Consultants Pc
Authorized OfficialLeszek J JaszczakPresident/owner · (701) 577-6337
Enumeration DateApril 30, 2008
Last NPPES UpdateMarch 13, 2020
NPPES CertifiedMarch 13, 2020
✔ NPI 1811162811 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Urgent CareAmbulatory Health Care Facilities
Taxonomy Code261QU0200X
License✔ Licensed in ND · 6414
3 4TH ST E, Williston, ND 58801

Other Names 1

Other NameWilliston Radiology Consultants

Other Identifiers 5

Other621-111ND · Naics
Medicaid0406731MT
Medicaid010182ND
Other269-961-7243ND · Tpin
Other109956169ND · Duns

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Williston Radiology Consultants is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

4

Medicare enrollment records show 4 clinicians reassign Medicare billing to Williston Radiology Consultants, which bills Medicare for the services they deliver. They are listed nearest first.

Clinicians, nearest first (4)

Diagnostic Radiology
NPI 1467528455
3 4TH ST E SUITE 201
Williston, ND 58801
(701) 577-6337
✔ PECOS✔ Accepts Medicare11 mi
Family Practice
NPI 1225052046
818 2ND AVE E
Culbertson, MT 59218
(406) 787-6401
✔ PECOS32 mi
Nurse Practitioner
NPI 1457424244
107 DILWORTH ST
Glendive, MT 59330
(406) 345-8935
✔ PECOS77 mi
Nurse Practitioner
NPI 1689926727
4301 W MARKHAM ST SLOT 547-13
Little Rock, AR 72205
(501) 686-6219
✔ PECOS✔ Accepts Medicare1,094 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fairlight Medical Center's NPI number?

The NPI number for Fairlight Medical Center is 1811162811. It was assigned to this organization in the NPPES registry on April 30, 2008. The provider is also known as Williston Radiology Consultants.

Where is Fairlight Medical Center located?

Fairlight Medical Center is located at 3 4th St E, Williston, ND 58801. The listed phone number is (701) 577-6337.

What is Fairlight Medical Center's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Urgent Care, with taxonomy code 261QU0200X.

Is Fairlight Medical Center enrolled in Medicare?

Yes. Fairlight Medical Center is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Fairlight Medical Center?

According to the CMS Revalidation Reassignment List (October 2026 release), 4 clinicians reassign their Medicare billing to Fairlight Medical Center, in Diagnostic Radiology, Family Practice and Nurse Practitioner. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Fairlight Medical Center was last updated on March 13, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.