NPI 1174548937

Avera St Lukes

Organisation Pathology Technician Mobridge, SD

Practice location

Address: 1400 10th Ave W, Mobridge, SD 57601-1246
Phone: (605) 845-7292
Fax: (605) 845-7812

Authorised official

Name: Ron Jacobson
Title: President
Phone: (605) 622-5502

Registered specialties (2)

Pathology Technician Primary

Technologists, Technicians & Other Technical Service Providers Taxonomy 246R00000X

Other Technician, Pathology providers in South Dakota →

Diagnostic Radiology Physician

Allopathic & Osteopathic Physicians Taxonomy 2085R0202X

Other Radiology providers in South Dakota →

Registry record

NPI: 1174548937
Entity type: Organization
NPI issued: 13 Jul 2006
Record last updated: 11 Sep 2025

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.