OrganizationActive
Avera St Lukes
NPI 1174548937 · Pathology Technician · Mobridge, SD
Provider details
- NPI number
- 1174548937
- Entity type
- Organization
- Primary specialty
- Pathology TechnicianTechnologists, Technicians & Other Technical Service Providers
- Authorized official
- Ron Jacobson, President
Practice location
1400 10th Ave W
Mobridge, SD 57601-1246
Phone: (605) 845-7292
Fax: (605) 845-7812
Mailing address
1400 10th Ave W
Mobridge, SD 57601-1246
Registry dates
- Enumerated
- 2006-07-13
- Last updated
- 2025-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.