AVERA GRASSLAND DIAGNOSTICS
NPI 1801193453
Clinic/Center - Radiology in Mitchell, SD

NPI Status: Active since February 17, 2011

Contact Information

1900 GRASSLAND DR
MITCHELL, SD
ZIP 57301
Phone: (605) 995-7000

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  • Organization
  • Clinic/Center
  • Radiology
  • CLIA Number: 43D0407438
  • CLIA Cert. Type: Independent
  • CLIA Exp. Date: 01-13-2027

About AVERA GRASSLAND DIAGNOSTICS

This page provides the complete NPI Profile along with additional information for Avera Grassland Diagnostics, a provider established in Mitchell, South Dakota operating as a Clinic/center, focusing in radiology . The healthcare provider is registered in the NPI registry with number 1801193453 assigned on February 2011. The practitioner's primary taxonomy code is 261QR0200X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The provider's is doing business as Avera Grassland Diagnostics. The authorized official of this NPI record is Douglas Ekeren (President/ceo)

NPI
1801193453
Provider Legal Name
AVERA QUEEN OF PEACE
Other Organization Name
AVERA GRASSLAND DIAGNOSTICS
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1900 GRASSLAND DR MITCHELL, SD 57301
Location Phone
(605) 995-7000
Mailing Address
525 N FOSTER ST MITCHELL, SD 57301
Mailing Phone
(605) 995-2000
Mailing Fax
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-17-2011
Last Update Date
08-20-2020
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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

Clinic/Center Radiology

Taxonomy Code
261QR0200X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DOUGLAS EKEREN

Authorized Official Title
PRESIDENT/CEO
Authorized Official Phone
(605) 668-8322

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
43D0407438
Facility Type
Independent
Certificate Effective Date
January 14, 2025
Certificate Expiration Date
January 13, 2027
Laboratory Director
DR. BRIAN J. TJARKS
Certificate Type
Certificate of Accreditation
Certificate Type Description
This is a CLIA certificate is issued to Avera Grassland Diagnostics on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha 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 1801193453, we treat the final digit (3) 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 57. The final step is to find the difference between that total and the next multiple of ten (60 - 57 = 3).

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.

Pos 1
1
Doubled → 2
Pos 2
8
Unchanged
Pos 3
0
Doubled → 0
Pos 4
1
Unchanged
Pos 5
1
Doubled → 2
Pos 6
9
Unchanged
Pos 7
3
Doubled → 6
Pos 8
4
Unchanged
Pos 9
5
Doubled → 10 → 1 + 0
Check
3
Target digit
Regular digit Doubled digit Check digit

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.

1 → 2 0 → 0 1 → 2 3 → 6 5 → 10 → 1

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 8 + 0 + 1 + 2 + 9 + 6 + 4 + 1 + 0 + 24 = 57

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 57 is 60. The difference is the calculated check digit.

60 - 57 = 3
This NPI is valid
The calculated check digit is 3, which matches the last digit of 1801193453.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Dermatology
1900 GRASSLAND DR
MITCHELL, SD 57301
Nurse Practitioner (Family)
1900 GRASSLAND DR
MITCHELL, SD 57301
Nurse Practitioner (Family)
1900 GRASSLAND DR
MITCHELL, SD 57301
Pediatrics
1900 GRASSLAND DR
MITCHELL, SD 57301
Nurse Practitioner (Pediatrics)
1900 GRASSLAND DR
MITCHELL, SD 57301
Nurse Practitioner (Family)
1900 GRASSLAND DR
MITCHELL, SD 57301
Surgery
1900 GRASSLAND DR
MITCHELL, SD 57301
Pediatrics
1900 GRASSLAND DR
MITCHELL, SD 57301
Physician Assistant
1900 GRASSLAND DR
MITCHELL, SD 57301
Internal Medicine
1900 GRASSLAND DR
MITCHELL, SD 57301
Urology
1900 GRASSLAND DR
MITCHELL, SD 57301
Dermatology
1900 GRASSLAND DR
MITCHELL, SD 57301
Dietitian, Registered
1900 GRASSLAND DR
MITCHELL, SD 57301
Urology
1900 GRASSLAND DR
MITCHELL, SD 57301
Pharmacy (Community/Retail Pharmacy)
1900 GRASSLAND DR, STE 101
MITCHELL, SD 57301
Nurse Practitioner
1900 GRASSLAND DR
MITCHELL, SD 57301
Surgery
1900 GRASSLAND DR
MITCHELL, SD 57301
Nurse Practitioner (Family)
1900 GRASSLAND DR
MITCHELL, SD 57301
Pharmacist
1900 GRASSLAND DR
MITCHELL, SD 57301
Family Medicine
1900 GRASSLAND DR
MITCHELL, SD 57301

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1801193453, enumerated as an "organization" on February 17, 2011.

The provider is located at 1900 GRASSLAND DR MITCHELL, SD 57301 and the phone number is (605) 995-7000.

Clinic/Center with taxonomy code 261QR0200X and a focus in Radiology.