| NPI | 1619007101 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN DAGUE Director 406-327-4131 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: MT 71253) |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2020-08-22 |