Organization Active NPI

Scsa Diagnostics, Inc.

  • Clinical Medical Laboratory
  • Brookings, SD
National Provider Identifier
1548434889
Registry record updated Apr 17, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
SCSA DIAGNOSTICS, INC.
Practice address
807 32ND Ave
Brookings, SD 57006-4716
Phone
(605) 692-5938
Fax
(605) 692-9730
NPI assigned
Apr 17, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 17, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Donald Paul Evenson, PH.D, HCLD
Title
President/Director
Phone
(605) 692-5938

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X SD Primary

Addresses

Primary practice location

807 32ND Ave
Brookings, SD 57006-4716

Mailing address

807 32ND Ave
Brookings, SD 57006-4716
Phone (605) 692-5938

Other identifiers 1

IdentifierTypeStateIssuer
4992615OtherSDNON-PROVIDING

National Provider Directory

National Provider Directory

Locations

807 32nd Ave
Brookings, SD 57006
Phone (605) 692-5938

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1208390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208390400000",
    "number": "1548434889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "807 32ND AVE",
            "city": "BROOKINGS",
            "state": "SD",
            "postal_code": "570064716",
            "telephone_number": "605-692-5938",
            "fax_number": "605-692-9730"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "807 32ND AVE",
            "city": "BROOKINGS",
            "state": "SD",
            "postal_code": "570064716",
            "telephone_number": "605-692-5938",
            "fax_number": "605-692-9730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCSA DIAGNOSTICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-17",
        "last_updated": "2008-04-17",
        "status": "A",
        "authorized_official_last_name": "EVENSON",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "PRESIDENT/DIRECTOR",
        "authorized_official_telephone_number": "605-692-5938",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D, HCLD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "SD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NON-PROVIDING",
            "identifier": "4992615",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookings, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.