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AVERA MCKENNAN NPI 1891718136


NPI Information

NPI: 1891718136
Provider Name: AVERA MCKENNAN

Doing Business As: AVERA MCKENNAN REGIONAL LAB

Classification: Clinical Medical Laboratory - 291U00000X
Entity Type: Organization
Address:
1301 S CLIFF AVE
REGIONAL LAB
SIOUX FALLS, SD
ZIP 57105
Phone: (605) 322-7187
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AVERA MCKENNAN is a clinical medical laboratory in Sioux Falls, SD. The provider is (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. AVERA MCKENNAN NPI is 1891718136. The provider is registered as an organization entity type.
The provider Is Doing Business As Avera Mckennan Regional Lab.

The provider's business location address is:

1301 S CLIFF AVE
REGIONAL LAB
SIOUX FALLS, SD
ZIP 57105-005
Phone: (605) 322-7187
Fax: (605) 322-7183

The provider's authorized official is David Flicek .
The authorized official title is President/ceo and has the following contact phone number (605) 322-7916.

The enumeration date for this NPI number is 7/26/2006 and was last updated on 11/12/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1291U00000XClinical Medical Laboratory43D0658878SOUTH DAKOTAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11034593OTHERSOUTH DAKOTAPREFERRED ONE
2165L6AVOTHERMINNESOTABLUE CROSS OF MINNESOTA
34995742OTHERSOUTH DAKOTABLUE CROSS OF SD
40569285MEDICAIDIOWA
5604999OTHERSOUTH DAKOTAARAZ
6F230764OTHERSOUTH DAKOTAMIDLANDS CHOICE
75580610MEDICAIDSOUTH DAKOTA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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