| NPI | 1023174521 |
|---|---|
| Other Name | LABORATORY RADIOLOGY |
| Entity Type | Organization |
| Authorized Contact | SELENA R NELSON CFO 406-778-5103 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: MT 10663) |
| Additional Taxonomies | 261QR0200X Clinic/Center, Radiology (Licence: MT 10663) |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2020-08-22 |