FYZICAL
NPI 1649629957
Specialist in Dakota Dunes, SD
About Fyzical NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
FYZICAL (NPI 1649629957) is a healthcare organization registered as a specialist in Dakota Dunes, South Dakota and active in the NPI registry since June 2016. The organization holds a CLIA Waiver certificate valid through December 22, 2027 and lists Kelly A Jerdee, Office Administrator, as its authorized official.Information from the official NPPES registry record, last updated June 29, 2016.
NPPES Registry Identity
★ Primary Specialty
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that… Show more
Also on File with NPPES
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
- 16D2176735
- Facility Type
- Physician Office
- Certificate Effective Date
- December 23, 2025
- Certificate Expiration Date
- December 22, 2027
- Laboratory Director
- ASHLEY MOZAK
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Fyzical to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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Other Providers at the Same Location
The following 6 providers are registered at the same or a nearby location.
DAKOTA DUNES, SD 57049
DAKOTA DUNES, SD 57049
DAKOTA DUNES, SD 57049
DAKOTA DUNES, SD 57049
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1649629957, enumerated as an "organization" on June 07, 2016.
The provider is located at 101 TOWER ROAD SUITE 110 DAKOTA DUNES, SD 57049 and the phone number is (605) 217-4320.
Specialist with taxonomy code 174400000X.
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
