NPI 1417965328

Clinical Laboratory Service

Organisation Clinical Medical Laboratory Bozeman, MT

Practice location

Address: 300 N Wilson St STE 1001, Bozeman, MT 59715
Phone: (406) 586-2040
Fax: (406) 586-5577
Mailing address: 300 N Willson Ave STE 1001, Bozeman, MT 59715-3551

Authorised official

Name: Michael W Gard
Title: Cfo
Phone: (406) 586-2040

Registered specialties

Clinical Medical Laboratory Primary

Laboratories Taxonomy 291U00000X Licence 0700410684 (MT)

Other Clinical Medical Laboratory providers in Montana →

Registry record

NPI: 1417965328
Entity type: Organization
NPI issued: 4 Aug 2006
Record last updated: 17 Jul 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.