AVERA ST LUKES – NPI #1174548937
Technician, Pathology

An individual with knowledge of specific techniques and instruments who performs all of the routine tests in a medical laboratory and who has the ability to discriminate between similar factors that directly affect procedures and results.

AVERA ST LUKES is a pathology technician located in MOBRIDGE, SD. NPPES has assigned the NPI number 1174548937 to AVERA ST LUKES on July 13, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 246R00000X from the Health Care Provider Taxonomy code set, which is classified as Technician, Pathology.

The NPI profile was last updated on Sep 11, 2025. 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 ST LUKES below.

NPI Profile for
AVERA ST LUKES

NPI Number
1174548937
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 ST LUKES
Primary location
1400 10TH AVE W
MOBRIDGE, SD 57601-1246
Phone: (605) 845-7292 Fax: (605) 845-7812
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
RON JACOBSON
PRESIDENT
Phone: (605) 622-5502
Updated
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
246R00000X
- Technician, Pathology (Primary)
2085R0202X
- Radiology / Diagnostic Radiology

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.