NORTHERN PLAINS LABORATORY, LLC (NPI# 1174504989) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174504989 |
| Entity Type | Organization |
| Organization Name | NORTHERN PLAINS LABORATORY, LLC |
| Practice Address |
401 N 9th St Bismarck ND 58501-4507 |
| Mailing Address |
Po Box 2036 Bismarck ND 58502-2036 |
| Practice Telephone | 7015305700 |
| Practice Fax Number | 7015305722 |
| Mailing Telephone | 7012222480 |
| Mailing Fax Number | 7012224537 |
| Enumeration Date | 2005-11-09 |
| Last Update Date | 2017-07-24 |
| Authorized Official Name | KURT R SCHLEY (GOVERNOR) |
| Authorized Official Telephone | 7015307610 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | 35D1037915 | ND | Laboratories |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ND | 13445 | 05 | |
| MT | 0421396 | 05 | |
| ND | BLUE CROSS/BLUE SHIELD | 25690 | 01 |
| ND | RR MEDICARE | P00223954 | 01 |
| Street Address |
401 N 9TH ST |
| City | BISMARCK |
| State | ND |
| Zip Code | 58501-4507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235124934 | Stewart A. Sharp | Specialist | 401 N 9th St, Bismarck, ND 58501-4506 | 2005-09-19 |
| 1346856002 | Stephanie L Jensen | Dietitian, Registered | 401 N 9th St, Bismarck, ND 58501-4506 | 2020-09-18 |
| 1447897897 | 701 Anesthesia Associates, Pllc | Nurse Anesthetist, Certified Registered | 401 N 9th St, Bismarck, ND 58501-4530 | 2019-12-04 |
| 1962059915 | Brightside Surgical, LLC | Surgery | 401 N 9th St, Bismarck, ND 58501-4530 | 2019-08-23 |
| 1629541172 | Evolve Dermatology | Nurse Practitioner | 401 N 9th St, Bismarck, ND 58501-4530 | 2019-01-08 |
| 1770029613 | Heritage Pharmacy East Inc | Pharmacy | 401 N 9th St, Bismarck, ND 58501-4530 | 2017-01-17 |
| 1497205876 | Sommer Fields | Physician Assistant | 401 N 9th St, Bismarck, ND 58501-4530 | 2016-10-10 |
| 1902257454 | Jenny Schmidt | Dietitian, Registered | 401 N 9th St, Bismarck, ND 58501-4530 | 2016-06-27 |
| 1659776805 | Laura Frances Roemmich | Physician Assistant | 401 N 9th St, Bismarck, ND 58501-4530 | 2014-10-30 |
| 1568877827 | Eric J Lutzwick | Nurse Practitioner | 401 N 9th St, Bismarck, ND 58501-4530 | 2014-06-25 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811500911 | Sonja Lee Bosch | Counselor | 101 E. Broadway Ave Heartview Foundation, Bismarck, ND 58501 | 2020-08-28 |
| 1649740630 | Stephanie Marie Simburger | Social Worker | 3111 East Broadway Ave, Bismarck, ND 58501 | 2018-12-03 |
| 1679042519 | Prairie Rose Family Dentists | Dentist | 1110 College Dr., Suite 110, Bismark, ND 58501 | 2018-11-21 |
| 1386111276 | Arielle Joy Flynn | Genetic Counselor, MS | 414 N Seventh Street, Bismarck, ND 58501 | 2018-10-29 |
| 1164901799 | Karalee Joy Harper | Counselor | 101 E. Broadway Ave, Bismarck, ND 58501 | 2018-08-14 |
| 1518457811 | Myckenzie Saari | Behavior Technician | 1929 N Washington St., Bismarck, ND 58501 | 2018-05-14 |
| 1831687532 | Jacquelyn Mahoney | Behavioral Analyst | 604 North Ave, Bismarck, ND 58501 | 2018-04-27 |
| 1710403811 | Kayla Marie Watson | Behavior Technician | 1500 E. Capitol Ave, Suite 200, Bismarck, ND 58501 | 2017-08-21 |
| 1306368220 | Scott Vandyke | Occupational Therapist | 300 N. 7th St, Bismarck, ND 58501 | 2017-07-12 |
| 1144670019 | Bismarck Psychological Associates, Pllc | Psychologist | 107 W. Main Ave., Suite 225, Bismarck, ND 58501 | 2016-06-21 |
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| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700130515 | Sanford West | Clinical Medical Laboratory | 300 N 7th St, Bismarck, ND 58501-4439 | 2012-10-31 |
| 1154485944 | Sanford Bismarck | Clinical Medical Laboratory | 222 N 7th St, Bismarck, ND 58501-4436 | 2006-12-19 |
| 1710920285 | Mid Dakota Clinic, PC | Clinical Medical Laboratory | 401 N 9th St, Bismarck, ND 58501-4507 | 2006-06-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588004410 | Medscan Laboratory Inc | Clinical Medical Laboratory | 1502 13th Ave, Suite 201, Williston, ND 58801-3825 | 2013-06-25 |
| 1346307774 | Pathology & Imaging Consultants, PC | Clinical Medical Laboratory | 1410 3rd Ave Sw, Minot, ND 58701-3658 | 2007-01-03 |
| 1356449136 | Northwood Deaconess Health Center | Clinical Medical Laboratory | 4 North Park St, Northwood, ND 58267-0190 | 2006-09-20 |
| 1356875553 | Vitas Laboratory LLC | Clinical Medical Laboratory | 1191 S Columbia Rd, Grand Forks, ND 58201-4033 | 2017-04-13 |
| 1275898678 | Pracs Institute Management, LLC | Clinical Medical Laboratory | 4801 Amber Valley Pkwy S, Fargo, ND 58104-8623 | 2012-07-11 |
| 1609144294 | Sanford Clinic North | Clinical Medical Laboratory | 2601 Broadway N, Fargo, ND 58102-6704 | 2011-12-09 |
| 1316273998 | Trinity Health | Clinical Medical Laboratory | 1321 W Dakota Pkwy, Williston, ND 58801-3807 | 2009-11-02 |
| 1164652640 | Sanford Clinic North | Clinical Medical Laboratory | 737 Broadway, Fargo, ND 58122-0045 | 2009-07-20 |
| 1902949845 | Trinity Health | Clinical Medical Laboratory | 1102 Main St, Williston, ND 58801-4233 | 2007-02-14 |
| 1174680052 | Sanford Clinic North | Clinical Medical Laboratory | 1720 University Dr S, Fargo, ND 58103-4940 | 2007-01-02 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.