| NPI | 1962411983 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE L DILLON Owner 406-839-1063 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory (Licence: MT RT240521) |
| Enumeration Date | 2006-08-07 |
| Last Update Date | 2023-07-06 |