NPI 1023345949

Central Mt Laboratory, LLC

Organisation Family Medicine Physician Great Falls, MT

Practice location

Address: 3511 1st Ave N, Great Falls, MT 59401-3527
Phone: (406) 454-1211
Fax: (406) 454-9916

Authorised official

Name: Lila Goodau
Title: Office Manager
Phone: (406) 454-1211

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 8293 (MT)

Other Family Medicine providers in Montana →

Registry record

NPI: 1023345949
Entity type: Organization
NPI issued: 13 Nov 2009
Record last updated: 13 Nov 2009

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.