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AVERA MEDICAL GROUP PATHOLOGY ABERDEEN
NPI 1003195926
Pathology - Clinical Pathology/Laboratory Medicine in Aberdeen, SD

Active since August 09, 2011CLIA 43D0670428 · Accreditation
305 S STATE ST, ABERDEEN, SD 57401(605) 622-5000 Get Directions Write a Review

NPPES record last updated: July 15, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Avera Medical Group Pathology Aberdeen NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AVERA MEDICAL GROUP PATHOLOGY ABERDEEN (NPI 1003195926) is a healthcare organization registered as a clinical pathology/laboratory medicine in Aberdeen, South Dakota and active in the NPI registry since August 2011. The organization holds an CLIA Accreditation certificate valid through October 22, 2027 and lists Tess Moeller, President And Ceo, as its authorized official.

NPPES Registry Identity

NPI1003195926
Entity TypeOrganization
Primary Taxonomy207ZP0105X
Legal Business NameAVERA ST. LUKES
Location Address305 S STATE STAberdeen, SD 57401-4527
Mailing AddressPo Box 4400Aberdeen, SD 57402-4400 · (605) 622-5000 · Fax (605) 622-5255
Phone(605) 622-5000
Organization SubpartNo
Authorized OfficialTess MoellerPresident And Ceo · (605) 622-2807
Enumeration DateAugust 9, 2011
Last NPPES UpdateJuly 15, 2022
NPPES CertifiedJuly 15, 2022
✔ NPI 1003195926 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPathology · Clinical Pathology/Laboratory MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207ZP0105X
License✔ Licensed in SD · 10525
Definition

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.

305 S STATE ST, Aberdeen, SD 57401
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Other Names 1

Doing Business AsAvera Medical Group Pathology Aberdeen

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Accreditation 43D0670428

Avera St Lukes · Aberdeen, SD
Active · expires Oct 22, 2027
CLIA Number43D0670428
Laboratory TypeHospital
Certificate Effective DateOctober 23, 2025
Certificate Expiration DateOctober 22, 2027
Laboratory DirectorDr. Thomas A. Roisum
Laboratory Phone(605) 622-5546
Laboratory LocationAvera St Lukes305 South State, Aberdeen, SD 57401
CLIA data matches this NPI record on: Address Name
This is a certificate that is issued to a laboratory on the basis of the laboratory's accreditation by an accreditation organization approved by CMS.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JASON GAUER PT
Physical Therapist
305 S STATE ST
ABERDEEN, SD 57401
Brown County (605) 622-5000
AVERA ST LUKES
Psychiatric Unit
305 S STATE ST
ABERDEEN, SD 57401
Brown County (605) 622-5000
SHANNON M YOUNG OT
Occupational Therapist
305 S STATE ST
ABERDEEN, SD 57401
Brown County (605) 622-5000
KERRI FOSS PT
Physical Therapist
305 S STATE ST
ABERDEEN, SD 57401
Brown County (605) 622-5000
AVERA ST LUKES
Medicare Defined Swing Bed Unit
305 S STATE ST
ABERDEEN, SD 57401
Brown County (605) 622-5000
NICOLE SUMNER
Physical Therapist
305 S STATE ST
ABERDEEN, SD 57401
Brown County (605) 622-5000
SUSAN FAE HOHM R.N., C.N.S
Clinical Nurse Specialist
305 S STATE ST
ABERDEEN, SD 57401
Brown County (605) 622-5587
HEATHER L THORSON OT
Occupational Therapist
305 S STATE ST
ABERDEEN, SD 57401
Brown County (605) 622-5000

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Avera St. Lukes's NPI number?

The NPI number for Avera St. Lukes is 1003195926. It was assigned to this organization in the NPPES registry on August 9, 2011. The provider is doing business as Avera Medical Group Pathology Aberdeen.

Where is Avera St. Lukes located?

Avera St. Lukes is located at 305 S State St, Aberdeen, SD 57401. The listed phone number is (605) 622-5000.

What is Avera St. Lukes's specialty?

The primary specialty registered for this NPI is Pathology, specializing in Clinical Pathology/Laboratory Medicine, with taxonomy code 207ZP0105X.

Does Avera St. Lukes hold a CLIA laboratory certificate?

Yes. A Certificate of Accreditation (number 43D0670428) is associated with this NPI, valid through October 22, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Avera St. Lukes was last updated on July 15, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.