AVERA MEDICAL GROUP PATHOLOGY ABERDEEN
NPI 1003195926
Pathology - Clinical Pathology/Laboratory Medicine in Aberdeen, SD
NPI Status: Active since August 09, 2011
Contact Information
305 S STATE ST
ABERDEEN, SD
ZIP 57401
Phone: (605) 622-5000
- Organization
- Pathology
- Clinical Pathology/Laboratory Medicine
- CLIA Number: 43D2192772
- CLIA Cert. Type: Physician Office
- CLIA Exp. Date: 06-03-2026
About AVERA MEDICAL GROUP PATHOLOGY ABERDEEN
This page provides the complete NPI Profile along with additional information for Avera Medical Group Pathology Aberdeen, a provider established in Aberdeen, South Dakota operating as a Pathology, focusing in clinical pathology/laboratory medicine . The healthcare provider is registered in the NPI registry with number 1003195926 assigned on August 2011. The practitioner's primary taxonomy code is 207ZP0105X with license number 10525 (SD). The provider is registered as an organization and their NPI record was last updated 4 years ago. Avera Medical Group Pathology Aberdeen operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The provider's is doing business as Avera Medical Group Pathology Aberdeen. The authorized official of this NPI record is Tess Moeller Md (President And Ceo)
- NPI
- 1003195926
- Provider Legal Name
- AVERA ST. LUKES
- Other Organization Name
- AVERA MEDICAL GROUP PATHOLOGY ABERDEEN
- Other Name Type
- Doing Business As (3)
- Entity Type
- Organization
- Location Address
- 305 S STATE ST ABERDEEN, SD 57401
- Location Phone
- (605) 622-5000
- Mailing Address
- PO BOX 4400 ABERDEEN, SD 57402
- Mailing Phone
- (605) 622-5000
- Mailing Fax
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 08-09-2011
- Last Update Date
- 07-15-2022
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Pathology Clinical Pathology/Laboratory Medicine
- Taxonomy Code
- 207ZP0105X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 10525
- License State
- SD
- Taxonomy Description
- 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.
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 43D2192772
- Facility Type
- Physician Office
- Certificate Effective Date
- June 04, 2024
- Certificate Expiration Date
- June 03, 2026
- Laboratory Director
- BO WANG
- Certificate Type
- Certificate of Compliance
- Certificate Type Description
- This CLIA certificate is issued to Avera Medical Group Pathology Aberdeen after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements. This type of certificate is issued to laboratories that perform nonwaived (moderate and/or high complexity) testing.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1003195926, we treat the final digit (6) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 54. The final step is to find the difference between that total and the next multiple of ten (60 - 54 = 6).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 54 is 60. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
ABERDEEN, SD 57401
ABERDEEN, SD 57401
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1003195926, enumerated as an "organization" on August 09, 2011.
The provider is located at 305 S STATE ST ABERDEEN, SD 57401 and the phone number is (605) 622-5000.
Pathology with taxonomy code 207ZP0105X and a focus in Clinical Pathology/Laboratory Medicine.
