| NPI | 1417965328 |
|---|---|
| Former Legal Business Name | MEDICAL LABORATORY SERVICE |
| Entity Type | Organization |
| Authorized Contact | MICHAEL W GARD CFO 406-586-2040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: MT 0700410684) |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2009-07-17 |