PHYSICIANS LABORATORY, LTD. (NPI# 1891747093) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891747093 |
| Entity Type | Organization |
| Organization Name | PHYSICIANS LABORATORY, LTD. |
| Other Organization Name | PHYSICIANS LABORATORY |
| Practice Address |
1301 S Cliff Ave Suite 700 Sioux Falls SD 57105-1019 |
| Mailing Address |
1301 South Cliff Avenue Suite 700 Sioux Falls SD 57105-1019 |
| Practice Telephone | 6053227200 |
| Practice Fax Number | 6053227222 |
| Mailing Telephone | 6053227200 |
| Mailing Fax Number | 6053227222 |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2015-09-23 |
| Authorized Official Name | MR. LEE BRANDT (INTERIM ADMINISTRATOR) |
| Authorized Official Telephone | 6053227200 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207ZP0102X |
Pathology Specialization: Anatomic Pathology & Clinical Pathology |
Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0908822 | 05 | |
| MN | 399365500 | 05 | |
| SD | 5580120 | 05 | |
| IA | 0575779 | 05 | |
| ND | 000017465 | 05 |
| Other Name | Type Code |
|---|---|
| Physicians Laboratory | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700050499 | Physicians Laboratory, Ltd. | Pathology | 1301 South Cliff Avenue, Suite 700, Sioux Falls, SD 57105-1019 | 2008-04-15 |
| Street Address |
1301 S CLIFF AVE SUITE 700 |
| City | SIOUX FALLS |
| State | SD |
| Zip Code | 57105-1019 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194723924 | Henry Travers | Pathology | 1301 S Cliff Ave, Suite 700, Sioux Falls, SD 57105-1019 | 2005-07-14 |
| 1245864693 | Rachel Wolkow | Nurse Practitioner | 1301 S Cliff Ave, Sioux Falls, SD 57105-1005 | 2020-02-25 |
| 1942723838 | Holly M Bonnichsen | Audiologist | 1301 S Cliff Ave, Sioux Falls, SD 57105-1005 | 2017-07-21 |
| 1194276956 | Nicole Rae Nelson | Nurse Practitioner | 1301 S Cliff Ave, #610, Sioux Falls, SD 57105-1005 | 2016-10-17 |
| 1780134023 | Andrew Jacob Murtha | Nurse Practitioner | 1301 S Cliff Ave, Sioux Falls, SD 57105-1005 | 2016-10-11 |
| 1003269176 | Paul Stamp | Nurse Practitioner | 1301 S Cliff Ave, Suite 610, Sioux Falls, SD 57105-1005 | 2016-07-13 |
| 1639535198 | Avera Mckennan | Durable Medical Equipment & Medical Supplies | 1301 S Cliff Ave, Ste. 220, Sioux Falls, SD 57105-1005 | 2016-01-13 |
| 1801274626 | Melissa Mathiowetz | Physical Therapist | 1301 S Cliff Ave, Suite 402, Sioux Falls, SD 57105-1005 | 2015-05-13 |
| 1831590447 | Rebecca Gayle Hruby | Nurse Practitioner | 1301 S Cliff Ave, Suite 506, Sioux Falls, SD 57105-1005 | 2014-09-15 |
| 1427463371 | Elizabeth Cecilia Stauss | Nurse Practitioner | 1301 S Cliff Ave, Plaza 2 Suite 401, Sioux Falls, SD 57105-1005 | 2014-06-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871117549 | Ashlesha Ravindra Bagwe | Student in an Organized Health Care Education/Training Program | Pediatrics Residency Program, 1305 W 18th St, Rt 6364, Sioux Falls, SD 57105 | 2020-05-29 |
| 1306494489 | Kelsey Elaine Kruse | Counselor | 3101 West 41st, Sioux Falls, SD 57105 | 2019-08-30 |
| 1902388341 | Sarah Tacke | Nurse Practitioner | 1301 West 18th Street, Sioux Falls, SD 57105 | 2018-09-02 |
| 1235624727 | Mahum Shahid | Student in an Organized Health Care Education/Training Program | 1400 W. 22nd St, Sioux Falls, SD 57105 | 2018-06-27 |
| 1942790126 | Smitha Narayana Gowda | Student in an Organized Health Care Education/Training Program | 1400 22nd Street, Sioux Falls, SD 57105 | 2018-05-14 |
| 1326538554 | Mali Elizabeth Teller | Speech-Language Pathologist | 2501 W. 26th Street, Sioux Falls, SD 57105 | 2018-05-14 |
| 1871081505 | Abdelmohaymin Abdalla Abufatima Abdalla | Student in an Organized Health Care Education/Training Program | Usd-ssom-internal Medicine Residency, 1400 22nd Street, Sioux Falls, SD 57105 | 2018-04-27 |
| 1710474697 | Moataz Ellithi | Student in an Organized Health Care Education/Training Program | 1400 W. 22nd St., Sioux Falls, SD 57105 | 2018-04-17 |
| 1366948663 | Holly Ahlers | Registered Nurse | 2000 S. Summit Ave, Sioux Falls, Sd 57105, Sioux Falls, SD 57105 | 2018-04-04 |
| 1558864124 | Darcy Lee Jensen | Counselor | 822 East 41st. Street, Suite 235, Souix Falls, SD 57105 | 2018-03-09 |
| Find all providers in zip 57105 | ||||
| Taxonomy Code | 207ZP0102X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pathology |
| Specialization | Anatomic Pathology & Clinical Pathology |
| A pathologist deals with the causes and nature of disease and contributes to diagnosis, prognosis and treatment through knowledge gained by the laboratory application of the biologic, chemical and physical sciences. A pathologist uses information gathered from the microscopic examination of tissue specimens, cells and body fluids, and from clinical laboratory tests on body fluids and secretions for the diagnosis, exclusion and monitoring of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added, 7/1/2009: definition reformatted] Additional Resources: American Board of Pathology, 2007. http://www.abpath.org/ This taxonomy code identifies the combined anatomic pathology & clinical pathology route. Board certification for Medical Doctors (MDs) is provided by the American Board of Pathology. To acknowledge the diverse activities in the practice of pathology and to accommodate the interests of individuals wanting to enter the field, the ABP offers primary certification through the following three routes: combined anatomic pathology and clinical pathology, anatomic pathology only and clinical pathology only. Primary certification in anatomic pathology or clinical pathology may be combined with some of the subspecialty certifications. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962729491 | Bailey Alan Reindl | Pathology | 1301 S Cliff Avenue, Suite 700, Sioux Falls, SD 57105-1019 | 2010-04-23 |
| 1740420660 | Karl Gregory Peterson | Pathology | 3013 W Spruceleigh Ct, Sioux Falls, SD 57105-0170 | 2009-03-05 |
| 1013988450 | Marc Dvoracek | Pathology | 1301 S Cliff Ave Ste 700, Sioux Falls, SD 57105-1019 | 2006-02-01 |
| 1194723924 | Henry Travers | Pathology | 1301 S Cliff Ave, Suite 700, Sioux Falls, SD 57105-1019 | 2005-07-14 |
| 1821097676 | Karla K Murphy | Pathology | 1301 South Cliff Avenue, Suite 700, Sioux Falls, SD 57105-1019 | 2005-07-14 |
| 1093133258 | Brian Joel Tjarks | Pathology | 1301 S Cliff Ave Ste 700, Sioux Falls, SD 57105-1019 | 2014-04-03 |
| 1578998654 | Catherine T Stoos | Pathology | 1301 S Cliff Ave, Suite 700, Sioux Falls, SD 57105-1005 | 2013-09-09 |
| 1689937476 | Lauren Marie Murer | Pathology | 1301 S Cliff Ave Ste 700, Sioux Falls, SD 57105-1019 | 2012-06-18 |
| 1043583537 | Sanford Clinic | Pathology | 1305 W 18th St, Sioux Falls, SD 57105-0401 | 2012-02-15 |
| 1053607127 | Erin Elizabeth Quist | Pathology | 1301 S Cliff Ave, Suite 700, Sioux Falls, SD 57105-1005 | 2011-06-27 |
| Find all providers in SIOUX FALLS | ||||
| City | SIOUX FALLS |
| Zip Code | 57105 |
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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.