Organization
MONTANA HEART ANGIO LAB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN DAGUE (DIRECTOR)
(406) 327-4131
Entity
Organization
Contact information
Practice address
2827 FORT MISSOULA RD, MISSOULA, MT 59804-7408
(406) 327-4614
(406) 327-4679
Mailing address
2827 FORT MISSOULA RD, MISSOULA, MT 59804-7408
(406) 327-4614
(406) 327-4679
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
71253
MT
Other
Enumeration date
03/06/2007
Last updated
08/22/2020
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