AVERA MEDICAL GROUP BROOKINGS
NPI 1063782373
Clinical Medical Laboratory in Brookings, SD
About Avera Medical Group Brookings NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
AVERA MEDICAL GROUP BROOKINGS (NPI 1063782373) is a healthcare organization registered as a clinical medical laboratory in Brookings, South Dakota and active in the NPI registry since January 2012. The organization holds a CLIA Microscopy certificate valid through August 18, 2026 and lists Julie Norton, Vp Executive, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
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 for Provider-Performed Microscopy Procedures (PPMP) 43D2117626
Avera Medical Group Brookings Specialty Care · Brookings, SDOther Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Mckennan's NPI number?
The NPI number for Avera Mckennan is 1063782373. It was assigned to this organization in the NPPES registry on January 3, 2012. The provider is doing business as Avera Medical Group Brookings.
Where is Avera Mckennan located?
Avera Mckennan is located at 400 22nd Ave, Brookings, SD 57006. The listed phone number is (605) 697-9500.
What is Avera Mckennan's specialty?
The primary specialty registered for this NPI is Clinical Medical Laboratory with taxonomy code 291U00000X.
Does Avera Mckennan hold a CLIA laboratory certificate?
Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 43D2117626) is associated with this NPI, valid through August 18, 2026. 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 Mckennan was last updated on January 3, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.