Organization
STATE OF MONTANA
Active
Other names
PUBLIC HEALTH LABORATORY
Organization subpart
No
Provider details
NPI number
Authorized official
ANNE WEBER (LSB BUREAU CHIEF)
(406) 444-3444
Entity
Organization
Contact information
Practice address
1400 E BROADWAY ST, ROOM B105, HELENA, MT 59601-5231
(406) 444-3444
(406) 444-1802
Mailing address
1400 E BROADWAY ST, ROOM B105, HELENA, MT 59601-5231
(406) 444-3444
(406) 444-1802
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0420138
—
MT
Enumeration date
11/28/2006
Last updated
08/22/2020
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