Organization
SIOUXLAND PATHOLOGY
Active
Other names
Dunes Medical Lab Siouxland Pathology
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KRISTINE GIESE (DIRECTOR)
(605) 232-4270
Entity
Organization
Contact information
Practice address
350 W ANCHOR DR, SUITE 200, DAKOTA DUNES, SD 57049-5335
(605) 232-4270
Mailing address
350 W ANCHOR DR, SUITE 200, DAKOTA DUNES, SD 57049-5335
(605) 232-4270
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
3912
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0005921
WELLMARK BLX SD
SD
Enumeration date
08/20/2006
Last updated
07/21/2022
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