Organization
ADLERA LABORATORY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRISTA BESICH (CEO)
(406) 761-9887
Entity
Organization
Contact information
Practice address
601 1ST AVE N, GREAT FALLS, MT 59401-2510
(406) 454-6973
Mailing address
601 1ST AVE N, GREAT FALLS, MT 59401-2510
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C1107015-12232941
STATE OF MT CERTIFICATION
MT
Enumeration date
02/28/2019
Last updated
10/02/2023
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