AVERA MCKENNAN REGIONAL LAB – NPI #1891718136
Clinical Medical Laboratory

(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 purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.

AVERA MCKENNAN REGIONAL LAB is a clinical medical laboratory located in SIOUX FALLS, SD. NPPES has assigned the NPI number 1891718136 to AVERA MCKENNAN REGIONAL LAB on July 26, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “AVERA MCKENNAN REGIONAL LAB” is a dba name, the actual legal business name for this organization is AVERA MCKENNAN. According to the NPI Registry, there are 2 additional location(s) assigned to this provider which are listed below. The primary taxonomy selected by this provider is 291U00000X from the Health Care Provider Taxonomy code set, which is classified as Clinical Medical Laboratory.

The NPI profile was previously updated about 6 years ago on Nov 12, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for AVERA MCKENNAN REGIONAL LAB below.

NPI Profile for
AVERA MCKENNAN

NPI Number
1891718136
Enumeration Date

(about 20 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
AVERA MCKENNAN
Doing Business As (dba): AVERA MCKENNAN REGIONAL LAB
Primary location
1301 S CLIFF AVE
REGIONAL LAB
SIOUX FALLS, SD 57105-1005
Phone: (605) 322-7187 Fax: (605) 322-7183
2 Other location(s):
2100 S Marion Rd Ste 105
Sioux Falls, SD 57106-3647
Phone: (605) 322-7187
6100 S Louise Ave
Sioux Falls, SD 57108-6029
Phone: (605) 322-7187
Mailing address
PO BOX 5045
ATTN: P.F.S.
SIOUX FALLS, SD 57117-5045
Phone: (605) 322-7187 Fax: (605) 322-7183
Organization Subpart
No
Authorized Official
DAVID FLICEK
PRESIDENT/CEO
Phone: (605) 322-7916
Updated
Certification Date
Nov 12, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for AVERA MCKENNAN REGIONAL LAB

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

See identifiers
DescriptionIssuerStateIdentifier
OTHERARAZSD604999
OTHERBLUE CROSS OF MINNESOTAMN165L6AV
OTHERBLUE CROSS OF SDSD4995742
OTHERMIDLANDS CHOICESDF230764
OTHERPREFERRED ONESD1034593
MEDICAIDIA0569285
MEDICAIDSD5580610
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
291U00000X
- Clinical Medical Laboratory (Primary)
SD 43D0658878

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.