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Organization

CENTRAL STATES DIAGNOSTIC

Active
Other names
Central States Diagnostic LLC
Organization subpart
No

Provider details

NPI number
Authorized official
MR. CATHERINE J DICE ECHOCARDIOGRAPHER (OWNER)
(605) 366-5397
Entity
Organization

Contact information

Practice address
25769 COTTONWOOD AVE, SIOUX FALLS, SD 57107-6402
(605) 366-5397
(605) 256-3259
Mailing address
1716 S MARION RD, SIOUX FALLS, SD 57106-3643
(605) 366-5397
(605) 256-3259

Taxonomy

Speciality
Code
Description
License number
State
2085U0001X
Diagnostic Ultrasound Physician
Primary
SD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0002272
BLUE SHIELD
SD
05
7290070
SD
Enumeration date
09/16/2006
Last updated
06/03/2020
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