| NPI | 1275182966 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREG POHLE Owner 406-896-4912 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Additional Taxonomies | 251K00000X Public Health or Welfare |
| Enumeration Date | 2019-09-05 |
| Last Update Date | 2020-03-04 |