Organization
SCSA DIAGNOSTICS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONALD PAUL EVENSON PH.D, HCLD (PRESIDENT/DIRECTOR)
(605) 692-5938
Entity
Organization
Contact information
Practice address
807 32ND AVE, BROOKINGS, SD 57006-4716
(605) 692-5938
(605) 692-9730
Mailing address
807 32ND AVE, BROOKINGS, SD 57006-4716
(605) 692-5938
(605) 692-9730
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4992615
NON-PROVIDING
SD
Enumeration date
04/17/2008
Last updated
04/17/2008
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