NPI 1003195926

Avera St. Lukes

Organisation Clinical Pathology/Laboratory Medicine Physician Aberdeen, SD

Practice location

Address: 305 S State St, Aberdeen, SD 57401-4527
Phone: (605) 622-5000
Mailing address: PO Box 4400, Aberdeen, SD 57402-4400

Authorised official

Name: Tess Moeller
Title: President and Ceo
Phone: (605) 622-2807

Registered specialties

Clinical Pathology/Laboratory Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207ZP0105X Licence 10525 (SD)

Other Pathology providers in South Dakota →

Registry record

NPI: 1003195926
Entity type: Organization
NPI issued: 9 Aug 2011
Record last updated: 15 Jul 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.