| NPI | 1649577297 |
|---|---|
| Doing Business As | AVERA GRASSLAND DIAGNOSTICS |
| Entity Type | Organization |
| Authorized Contact | DOUGLAS EKEREN President/CEO 605-668-8322 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 261QR0200X Clinic/Center, Radiology (Licence: SD 63654) |
| Enumeration Date | 2011-02-17 |
| Last Update Date | 2020-08-20 |