| NPI | 1144395518 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBORAH J THORPE Owner 406-443-1700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: MT 27D0667170) |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2020-08-22 |