MITCHELL DIAGNOSTIC (NPI# 1770513475) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770513475 |
| Entity Type | Organization |
| Organization Name | MITCHELL DIAGNOSTIC |
| Practice Address |
2250 N Kimball St Ste 600 Mitchell SD 57301-5335 |
| Practice Telephone | 6059962031 |
| Practice Fax Number | 6059964496 |
| Mailing Telephone | 6059962031 |
| Mailing Fax Number | 6059964496 |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2008-05-29 |
| Authorized Official Name | MS. MARY PARR (OFFICE MANAGER) |
| Authorized Official Telephone | 6059962031 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 247100000X | Radiologic Technologist | 42168 | SD | Technologists, Technicians & Other Technical Service Providers |
| N | 2471B0102X |
Radiologic Technologist Specialization: Bone Densitometry |
42168 | SD | Technologists, Technicians & Other Technical Service Providers |
| N | 246XS1301X |
Spec/Tech, Cardiovascular Specialization: Sonography |
48461 | SD | Technologists, Technicians & Other Technical Service Providers |
| N | 246XC2903X |
Spec/Tech, Cardiovascular Specialization: Vascular Specialist |
48461 | SD | Technologists, Technicians & Other Technical Service Providers |
| Y | 291U00000X | Clinical Medical Laboratory | 43D0407438 | SD | Laboratories |
| N | 2471N0900X |
Radiologic Technologist Specialization: Nuclear Medicine Technology |
42168 | SD | Technologists, Technicians & Other Technical Service Providers |
| N | 374700000X | Technician | 18136 | SD | Nursing Service Related Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| SD | RAILROAD MEDICARE | 690006160 | 01 |
| Street Address |
2250 N KIMBALL ST STE 600 |
| City | MITCHELL |
| State | SD |
| Zip Code | 57301-5335 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932721388 | Dakota Counseling Institute | Social Worker | 910 W Havens, Mitchell, SD 57301 | 2020-05-08 |
| 1215588512 | Carolyn Marie Klinkhammer | Registered Nurse | 525 North Foster - Avera Queen of Peace Hospital, Mitchell, SD 57301 | 2019-09-27 |
| 1720596893 | Brian Bannwarth | Pharmacist | 25147 Campground Road, Mitchell, SD 57301 | 2018-01-11 |
| 1336664135 | Haley Long | Speech-Language Pathologist | 200 East Havens, Mitchell, SD 57301 | 2017-08-14 |
| 1770004996 | Edgewood Mitchell LLC | Assisted Living Facility | 501 East Spruce Street, Mitchell, SD 57301 | 2017-06-28 |
| 1467831685 | Amanda Louise Johnson | Physical Therapist | 910 S Edgerton, Mitchell, SD 57301 | 2015-05-20 |
| 1922432830 | Melissa Jill Maier | Dentist | 240 E 23 Ave, Mitchell, SD 57301 | 2013-08-27 |
| 1356626972 | Lewis Family Drug, LLC | Pharmacy | 1507 N Main St, Mitchell, SD 57301 | 2011-10-14 |
| 1184945958 | Kimberly L Lienemann | Counselor | 403 N Lawler St, Mitchell, SD 57301 | 2010-06-16 |
| 1134365554 | Gronsten-maier Dental Prof. LLC | Dentist | 240 E. 23rd Avenue, Mitchell, SD 57301 | 2009-01-07 |
| Find all providers in zip 57301 | ||||
| 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 |
|---|---|---|---|---|
| 1366544769 | Mga Lab Inc | Clinical Medical Laboratory | 1115 East 5th, Mitchell, SD 57301-1003 | 2006-09-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548434889 | Scsa Diagnostics, Inc. | Clinical Medical Laboratory | 807 32nd Ave, Brookings, SD 57006-4716 | 2008-04-17 |
| 1134302177 | City of Sioux Falls | Clinical Medical Laboratory | 521 N. Main Ave., Suite 100, Sioux Falls, SD 57104-5947 | 2007-12-13 |
| 1790906451 | Jeanine Rae Dodson | Clinical Medical Laboratory | 927 5th St, So. #5, Brookings, SD 57006-3349 | 2007-05-01 |
| 1124133236 | Siouxland Pathology | Clinical Medical Laboratory | 350 W Anchor Dr, Suite 200, Dakota Dunes, SD 57049-5335 | 2006-08-20 |
| 1861429110 | State of South Dakota Division of Oasi | Clinical Medical Laboratory | 615 E 4th St, Pierre, SD 57501-1700 | 2006-06-26 |
| 1326024720 | Laboratory Corporation of America | Clinical Medical Laboratory | 713 Omaha St, Rapid City, SD 57701-2761 | 2005-12-16 |
| 1184626962 | Huron Clinic Foundation Ltd | Clinical Medical Laboratory | 111 4th St Se, Huron, SD 57350-2509 | 2005-08-11 |
| 1528627361 | Avera Mckennan | Clinical Medical Laboratory | 3720 W 69th St, Sioux Falls, SD 57108-8192 | 2019-06-06 |
| 1417428434 | Rapid City Regional Hospital, Inc. | Clinical Medical Laboratory | 1635 Caregiver Circle, Rapid City, SD 57702-8529 | 2018-12-17 |
| 1326523754 | Regional Health Network, Inc. | Clinical Medical Laboratory | 2140 Junction Ave, Sturgis, SD 57785-2358 | 2018-10-02 |
| Find all providers with the same taxonomy | ||||
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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.