Central States Diagnostic, NPI 1669578480
Diagnostic Ultrasound Physician in Sioux Falls, SD, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1669578480
NPI Entity Type Organization
Provider Name Central States Diagnostic
Other Name
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Certification Date September 30, 2009
Provider Location Address 25769 Cottonwood Ave, Sioux Falls, SD, US
Provider Mailing Address 1716 S Marion Rd, Sioux Falls, SD, US, 571063643
Gender Male
Is Sole Proprietor? No
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Organization Official

Official Name MR. ECHOCARDIOGRAPHER Catherine J Dice
Official Position OWNER
Phone 605-366-5397

Group Taxonomy

Taxonomy Code 193200000X
Taxonomy Name 193200000X MULTI-SPECIALTY GROUP
Definition A business group of one or more individual practitioners, who practice with different areas of specialization.

Primary Taxonomy

Taxonomy Code

2085U0001X

Taxonomy Name Diagnostic Ultrasound Physician
Classification

Radiology

Group

Allopathic & Osteopathic Physicians

License State SD
Description A Radiology doctor of Osteopathy that specializes in Diagnostic Ultrasound.

Other Organization Name

Central States Diagnostic LLC
Other Name

Business Address

Central States Diagnostic
25769 Cottonwood Ave

Sioux Falls, SD, US

Phone: 605-366-5397
Fax: 605-256-3259

Mailing Address

Central States Diagnostic
1716 S Marion Rd
Sioux Falls, SD, US
ZIP 571063643
Phone: 605-366-5397
Fax: 605-256-3259

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
0002272 SD BLUE SHIELD 01
7290070 SD MEDICAID 05

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