NPIMap

Organization Active NPI

State of South Dakota Division of Oasi

Doing business as South Dakota Department of Health

  • Clinical Medical Laboratory
  • Pierre, SD
National Provider Identifier
1861429110
Registry record updated Jul 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
43D0658941 Issued in SD
Legal business name
STATE OF SOUTH DAKOTA DIVISION OF OASI
Doing business as
South Dakota Department of Health
Practice address
615 E 4TH St
Pierre, SD 57501-1700
Phone
(605) 773-4757
Fax
(605) 773-6129
NPI assigned
Jun 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2008

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

Authorized official

Name
Ms. Kari Jean Weisbeck
Title
Administrator
Phone
(605) 773-4939

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 43D0658941 SD Primary

Addresses

Primary practice location

615 E 4TH St
Pierre, SD 57501-1700

Mailing address

600 E Capitol Ave
Pierre, SD 57501-2536
Phone (605) 773-3361

Other identifiers 1

IdentifierTypeStateIssuer
5580690MedicaidSD

Other names 1

  • South Dakota Department of Health Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
43D0658941South Dakota Public Health Laboratory615 East Fourth Street, Pierre, SD 57501ComplianceJul 27, 2027
43D0880953South Dakota Department of Health615 E 4TH Street, Pierre, SD 57501Certificate of waiverJan 2, 2028
43D2331308South Dakota Department of Health615 East 4TH St, Pierre, SD 57501Certificate of waiverSep 29, 2027

National Provider Directory

National Provider Directory
Tax ID family
SD Dept of HLTH Dba CHI35 organizations share this tax ID, including this one

Other organizations with this tax ID 34

Organizations that report the same tax identification number in the National Provider Directory.

View all 34

Locations

615 E 4th St
Pierre, SD 57501
Phone (605) 773-3368

NPI Registry JSON

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

{
    "created_epoch": "1151280000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215648000000",
    "number": "1861429110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 E CAPITOL AVE",
            "city": "PIERRE",
            "state": "SD",
            "postal_code": "575012536",
            "telephone_number": "605-773-3361",
            "fax_number": "605-773-5683"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 E 4TH ST",
            "city": "PIERRE",
            "state": "SD",
            "postal_code": "575011700",
            "telephone_number": "605-773-4757",
            "fax_number": "605-773-6129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE OF SOUTH DAKOTA DIVISION OF OASI",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-26",
        "last_updated": "2008-07-10",
        "status": "A",
        "authorized_official_last_name": "WEISBECK",
        "authorized_official_first_name": "KARI",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "605-773-4939",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "SD",
            "license": "43D0658941",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5580690",
            "state": "SD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "South Dakota Department of Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pierre, SD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.