Avera Mckennan in Sioux Falls - Clinical Medical Laboratory
Avera Mckennan - NPI 1891718136
Avera Mckennan is a Clinical Medical Laboratory in Sioux Falls, South Dakota. Avera Mckennan practices all healthcare services and medical treatments related to Clinical Medical Laboratory. The NPI Number for Avera Mckennan is 1891718136. The last update date is 2020-11-12.
Avera Mckennan's current location address is Po Box 5045, Sioux Falls, South Dakota. You can contact this provider via phone number 6053227187 and fax number 6053227183. The mailing address for Avera Mckennan is Po Box 5045, Sioux Falls, South Dakota. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Avera Mckennan |
|---|---|
| Address | Po Box 5045, Sioux Falls, South Dakota |
| Phone Number | 6053227187 |
| Fax Number | 6053227183 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT/ |
|---|---|
| Authorized Official Name | Flicek David |
| Telephone Number | 6053227916 |
NPI Number Detail
| NPI Number | 1891718136 |
|---|---|
| Provider Enumeration Date | 2006-07-26 |
| Last Updated Date | 2020-11-12 |
Provider Mailing Address Detail
| Address | Po Box 5045 |
|---|---|
| City | Sioux Falls |
| State | South Dakota (SD) |
| Post Code | 571175045 |
| Phone Number | 6053227187 |
| Fax Number | 6053227183 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Medical Laboratory |
|---|---|
| Taxonomy | 291U00000X |
| Licence No | 43D0658878 |
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Definition: (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purp |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4995742 | SD | BLUE CROSS OF SD | |
| 604999 | SD | ARAZ | |
| 5580610 | SD | -- | |
| 1034593 | SD | PREFERRED ONE | |
| 165L6AV | MN | BLUE CROSS OF MINNESOTA | |
| F230764 | SD | MIDLANDS CHOICE | |
| 569285 | IA | -- |
Post Comment/ Review Below
What is the Avera Mckennan's unique identification number?
The Avera Mckennan has been assigned the NPI (National Provider Identifier) Number 1891718136 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete street address where Avera Mckennan is physically located?
The Avera Mckennan is physically situated at the following address: Po Box 5045, Sioux Falls, SD, 571175045.
What is the Avera Mckennan's specialty and taxonomy code?
The Avera Mckennan's specialty is Clinical Medical Laboratory, and the corresponding taxonomy code is 291U00000X.
On what date did the Avera Mckennan receive its 1891718136 assignment from the Centers for Medicare & Medicaid Services?
The Avera Mckennan was assigned its 1891718136 by the Centers for Medicare & Medicaid Services on 2006-07-26.
When was the information pertaining to Avera Mckennan most recently updated or revised?
The details related to Avera Mckennan, including its address, specialty, and other relevant information, were last updated or revised on 2020-11-12.
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