NPI 1275750580

Sanford School of Medicine of the University of South Dakota Clinical

Organisation Clinical Medical Laboratory Rapid City, SD

Practice location

Address: 353 Fairmont Blvd, Rapid City, SD 57701-7375
Phone: (605) 394-5143
Mailing address: 1400 W 22nd St, Sioux Falls, SD 57105-1505

Authorised official

Name: Michael R Koch
Title: Dept. Chair
Phone: (605) 336-3230

Registered specialties

Clinical Medical Laboratory Primary

Laboratories Taxonomy 291U00000X

Other Clinical Medical Laboratory providers in South Dakota →

Registry record

NPI: 1275750580
Entity type: Organization
NPI issued: 19 Apr 2007
Record last updated: 4 Oct 2007

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.