NPI 1861429110

State of South Dakota Division of Oasi

Organisation Clinical Medical Laboratory Pierre, SD

Practice location

Address: 615 E 4th St, Pierre, SD 57501-1700
Phone: (605) 773-4757
Fax: (605) 773-6129
Mailing address: 600 E Capitol Ave, Pierre, SD 57501-2536

Authorised official

Name: Kari Jean Weisbeck
Title: Administrator
Phone: (605) 773-4939

Registered specialties

Clinical Medical Laboratory Primary

Laboratories Taxonomy 291U00000X Licence 43D0658941 (SD)

Other Clinical Medical Laboratory providers in South Dakota →

Registry record

NPI: 1861429110
Entity type: Organization
NPI issued: 26 Jun 2006
Record last updated: 10 Jul 2008

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.