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CENTRAL STATES DIAGNOSTIC NPI 1669578480


NPI Information

NPI: 1669578480
Provider Name: CENTRAL STATES DIAGNOSTIC

Other Name: CENTRAL STATES DIAGNOSTIC LLC

Classification: Radiology - 2085U0001X
Entity Type: Organization

Specialization: Diagnostic Ultrasound

Address:
25769 COTTONWOOD AVE
SIOUX FALLS, SD
ZIP 57107
Phone: (605) 366-5397
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CENTRAL STATES DIAGNOSTIC is a diagnostic ultrasound radiology in Sioux Falls, SD. The provider is a Radiology doctor of Osteopathy that specializes in Diagnostic Ultrasound. CENTRAL STATES DIAGNOSTIC NPI is 1669578480. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Central States Diagnostic Llc.

The provider's business location address is:

25769 COTTONWOOD AVE
SIOUX FALLS, SD
ZIP 57107-402
Phone: (605) 366-5397
Fax: (605) 256-3259

The provider's authorized official is Catherine J Dice .
The authorized official title is Owner and has the following contact phone number (605) 366-5397.

The enumeration date for this NPI number is 9/16/2006 and was last updated on 6/3/2020.


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
12085U0001XRadiologyDiagnostic UltrasoundSOUTH 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
17290070MEDICAIDSOUTH DAKOTA
20002272OTHERSOUTH DAKOTABLUE SHIELD

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: 11/14/2023

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