| NPI | 1770513475 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY PARR Office Manager 605-996-2031 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: SD 43D0407438) |
| Additional Taxonomies | 246XC2903X Specialist/Technologist Cardiovascular Vascular Specialist (Licence: SD 48461) |
| 246XS1301X Specialist/Technologist Cardiovascular Sonography (Licence: SD 48461) | |
| 247100000X Radiologic Technologist (Licence: SD 42168) | |
| 2471B0102X Radiologic Technologist Bone Densitometry (Licence: SD 42168) | |
| 2471N0900X Radiologic Technologist Nuclear Medicine Technology (Licence: SD 42168) | |
| 374700000X Technician (Licence: SD 18136) | |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2008-05-29 |