Avera St Lukes
NPI 1174548937ActiveOrganization· Technician, Pathology· Mobridge, SD
Technician, Pathology in Mobridge, South Dakota, registered in NPPES in July 2006. The authorized official on file is Ron Jacobson, President.
Overview
| NPI | 1174548937 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 13, 2006 |
| Last updated in NPPES | Sep 11, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Technician, Pathology Primary | 246R00000X | — | — |
| Radiology, Diagnostic Radiology | 2085R0202X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|