NPI 1316605637

Providence Health & Services Mt

Organisation Clinical Medical Laboratory Missoula, MT

Practice location

Address: 3075 N Reserve St STE Q, Missoula, MT 59808-1390
Phone: (406) 327-1850
Mailing address: PO Box 31001 - 4114, Pasadena, CA 91110-4114

Authorised official

Name: Donald W Anderson
Title: Dir Reimb Reg Strat/Asst Sec Enroll
Phone: (425) 358-9786

Registered specialties

Clinical Medical Laboratory Primary

Laboratories Taxonomy 291U00000X

Other Clinical Medical Laboratory providers in Montana →

Registry record

NPI: 1316605637
Entity type: Organization
NPI issued: 3 Dec 2021
Record last updated: 10 Feb 2026

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.