| NPI | 1003195926 |
|---|---|
| Doing Business As | AVERA MEDICAL GROUP PATHOLOGY ABERDEEN |
| Entity Type | Organization |
| Authorized Contact | TESS MOELLER President And CEO 605-622-2807 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207ZP0105X Pathology, Clinical Pathology/Laboratory Medicine (Licence: SD 10525) |
| Enumeration Date | 2011-08-09 |
| Last Update Date | 2022-07-15 |