Provider Demographics
NPI:1578143335
Name:SOUTH DAKOTA STATE UNIVERSITY
Entity Type:Organization
Organization Name:SOUTH DAKOTA STATE UNIVERSITY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RESEARCH INTEGRITY AND COMPLIANCE
Authorized Official - Prefix:DR
Authorized Official - First Name:DIANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:NAGY
Authorized Official - Suffix:
Authorized Official - Credentials:EDD
Authorized Official - Phone:605-688-8696
Mailing Address - Street 1:1155 NORTH CAMPUS DRIVE
Mailing Address - Street 2:SOUTH DAKOTA STATE UNIVERSITY CAMPUS
Mailing Address - City:BROOKINGS
Mailing Address - State:SD
Mailing Address - Zip Code:57007
Mailing Address - Country:US
Mailing Address - Phone:605-688-5172
Mailing Address - Fax:605-688-6003
Practice Address - Street 1:1155 NORTH CAMPUS DRIVE
Practice Address - Street 2:SOUTH DAKOTA STATE UNIVERSITY CAMPUS
Practice Address - City:BROOKINGS
Practice Address - State:SD
Practice Address - Zip Code:57007
Practice Address - Country:US
Practice Address - Phone:605-688-5172
Practice Address - Fax:605-688-6003
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:SOUTH DAKOTA STATE UNIVERSITY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-04-14
Last Update Date:2021-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory