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AVERA ST LUKES
NPI 1174548937
Technician, Pathology in Mobridge, SD

Active since July 13, 2006
1400 10TH AVE W, MOBRIDGE, SD 57601(605) 845-7292(605) 845-7812 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About Avera St Lukes NPPES

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

AVERA ST LUKES (NPI 1174548937), doing business as Avera St Lukes Physician Specialist Clinic, is a healthcare organization registered as a technician, pathology in Mobridge, South Dakota and active in the NPI registry since July 2006. The organization lists Ron Jacobson, President, as its authorized official.

NPPES Registry Identity

NPI1174548937
Entity TypeOrganization
Primary Taxonomy246R00000X
Legal Business NameAVERA ST LUKES
Location Address1400 10TH AVE WMobridge, SD 57601-1246
Mailing Address1400 10th Ave WMobridge, SD 57601-1246 · (605) 845-7292 · Fax (605) 845-7812
Phone(605) 845-7292
Fax(605) 845-7812
Organization SubpartNo
Authorized OfficialRon JacobsonPresident · (605) 622-5502
Enumeration DateJuly 13, 2006
Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration
✔ NPI 1174548937 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyTechnician, PathologyTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code246R00000X
Definition
An individual with knowledge of specific techniques and instruments who performs all of the routine tests in a medical laboratory and who has the ability to discriminate between similar factors that directly affect procedures and results.
Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X
1400 10TH AVE W, Mobridge, SD 57601
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Other Names 1

Doing Business AsAvera St Lukes Physician Specialist Clinic

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

Other Providers at the Same Location NPPES 2

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

AVERA ST. LUKE'S
Family Medicine
1400 10TH AVE W
MOBRIDGE, SD 57601
Walworth County (605) 845-7292
JOHN CHARLES OLSON O.D.
Optometrist
1400 10TH AVE W
MOBRIDGE, SD 57601
Walworth County (605) 845-2932

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 1174548937. It was assigned to this organization in the NPPES registry on July 13, 2006. The provider is doing business as Avera St Lukes Physician Specialist Clinic.

Where is Avera St Lukes located?

Avera St Lukes is located at 1400 10th Ave W, Mobridge, SD 57601. The listed phone number is (605) 845-7292.

What is Avera St Lukes's specialty?

The primary specialty registered for this NPI is Technician, Pathology with taxonomy code 246R00000X.

When was this NPI record last updated?

The NPPES record for Avera St Lukes was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.