St.Pierre, Randy Leroy

St.Pierre, Randy Leroy is an individual health care provider with primary practice located at 3200 Canyon Lake Dr , Rapid City SD 57702-8114. He recently has only one registered license in Technologists, Technicians & Other Technical Service Providers / Medical Laboratory, which is considered as his primary health care specialty. St.Pierre, Randy Leroy can be contacted via phone (605) 355-2229.

Contact Information

Primary practice address
3200 Canyon Lake Dr Rapid City SD 57702-8114
Phone: (605) 355-2229
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Medical Laboratory 246RM2200X MLT 51091

Profile Details

NPI number 1497087811
LBN Legal business name St.Pierre, Randy Leroy
Credentials AAS MLT (ASCP)
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 10th, 2010
Last updated Feb 10th, 2010 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1497087811 NPPES
South Dakota MEDICAID 5549050

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