| NPI | 1790787935 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICKI A MCCARTHY Administrator 406-238-6360 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: MT CLIA 27D0946844) |
| Enumeration Date | 2005-06-01 |
| Last Update Date | 2008-09-04 |