NPI 1619007101

Montana Heart Angio Lab LLC

Organisation Clinical Medical Laboratory Missoula, MT

Practice location

Address: 2827 Fort Missoula Rd, Missoula, MT 59804-7408
Phone: (406) 327-4614
Fax: (406) 327-4679

Authorised official

Name: John Dague
Title: Director
Phone: (406) 327-4131

Registered specialties

Clinical Medical Laboratory Primary

Laboratories Taxonomy 291U00000X Licence 71253 (MT)

Other Clinical Medical Laboratory providers in Montana →

Registry record

NPI: 1619007101
Entity type: Organization
NPI issued: 6 Mar 2007
Record last updated: 22 Aug 2020

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.