Organization
CENTRAL MONTANA LABORATORY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALLYN E CHRISTIAENS (MEMBER)
(406) 454-1211
Entity
Organization
Contact information
Practice address
1411 9TH ST S, SUITE B101, GREAT FALLS, MT 59405-4503
(406) 454-1211
(406) 454-9916
Mailing address
1411 9TH ST S, SUITE B101, GREAT FALLS, MT 59405-4503
(406) 454-1211
(406) 454-9916
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1164519377
NPI
MT
Enumeration date
10/08/2006
Last updated
08/22/2020
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