NPI 1649577297

Avera Queen of Peace

Organisation Clinical Medical Laboratory Mitchell, SD

Practice location

Address: 1900 Grassland Dr., Mitchell, SD 57301-6205
Phone: (605) 995-7000
Mailing address: 525 N Foster St, Mitchell, SD 57301-2966

Authorised official

Name: Douglas Ekeren
Title: President/Ceo
Phone: (605) 668-8322

Registered specialties (2)

Clinical Medical Laboratory Primary

Laboratories Taxonomy 291U00000X

Other Clinical Medical Laboratory providers in South Dakota →

Radiology Clinic/Center

Ambulatory Health Care Facilities Taxonomy 261QR0200X Licence 63654 (SD)

Other Clinic/Center providers in South Dakota →

Registry record

NPI: 1649577297
Entity type: Organization
NPI issued: 17 Feb 2011
Record last updated: 20 Aug 2020

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.