Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Avera St Lukes

Organization Diagnostic Radiology Physician · NPI 1174548937

Avera St Lukes is a Diagnostic Radiology Physician in Mobridge, South Dakota. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
2

Practice location Address checks out

1400 10th Ave W
Mobridge, SD 57601-1246
Phone: (605) 845-7292
Fax: (605) 845-7812
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Pathology Technician (primary) Taxonomy 246R00000X
Diagnostic Radiology Physician Taxonomy 2085R0202X

Record details

NPI number1174548937
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ron Jacobson — President · (605) 622-5502
Other names Avera St Lukes Physician Specialist Clinic
NPI enumeratedJuly 13, 2006
Last updated in NPPESSeptember 11, 2025
Mailing address1400 10th Ave W, Mobridge, SD 57601-1246