AVERA MEDICAL GROUP PATHOLOGY ABERDEEN – NPI #1003195926
Pathology

A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease.

AVERA MEDICAL GROUP PATHOLOGY ABERDEEN is a pathologist located in ABERDEEN, SD. NPPES has assigned the NPI number 1003195926 to AVERA MEDICAL GROUP PATHOLOGY ABERDEEN on August 09, 2011. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “AVERA MEDICAL GROUP PATHOLOGY ABERDEEN” is a dba name, the actual legal business name for this organization is AVERA ST. LUKES. The primary taxonomy selected by this provider is 207ZP0105X from the Health Care Provider Taxonomy code set, which is classified as Pathology, specializing in Clinical Pathology/Laboratory Medicine

The NPI profile was previously updated about 4 years ago on Jul 15, 2022. 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 MEDICAL GROUP PATHOLOGY ABERDEEN below.

NPI Profile for
AVERA ST. LUKES

NPI Number
1003195926
Enumeration Date

(about 15 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 ST. LUKES
Doing Business As (dba): AVERA MEDICAL GROUP PATHOLOGY ABERDEEN
Primary location
305 S STATE ST
ABERDEEN, SD 57401-4527
Phone: (605) 622-5000 Fax:
Mailing address
PO BOX 4400
ABERDEEN, SD 57402-4400
Phone: (605) 622-5000 Fax: (605) 622-5255
Organization Subpart
No
Authorized Official
TESS MOELLER
PRESIDENT AND CEO
Phone: (605) 622-2807
Updated
Certification Date
Jul 15, 2022

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.

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
207ZP0105X
- Pathology / Clinical Pathology/Laboratory Medicine (Primary)
SD 10525

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.