Organization
STATE OF SOUTH DAKOTA DIVISION OF OASI
Active
Other names
South Dakota Department of Health
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KARI JEAN WEISBECK (ADMINISTRATOR)
(605) 773-4939
Entity
Organization
Contact information
Practice address
615 E 4TH ST, PIERRE, SD 57501-1700
(605) 773-4757
(605) 773-6129
Mailing address
600 E CAPITOL AVE, PIERRE, SD 57501-2536
(605) 773-3361
(605) 773-5683
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
43D0658941
SD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5580690
—
SD
Enumeration date
06/26/2006
Last updated
07/10/2008
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