| NPI | 1366466856 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER ANTHONY FISHER SMITH Pathologist 406-752-1789 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: MT 9546) |
| Enumeration Date | 2006-07-27 |
| Last Update Date | 2020-08-22 |