Organization
WESTERN MONTANA CLINIC PC
Active
Other names
Western Montana Clinic Laboratory
Organization subpart
No
Provider details
NPI number
Authorized official
ADAM VANREGENMORTER PH.D. (LABORATORY DIRECTOR)
(406) 721-5600
Entity
Organization
Contact information
Practice address
500 W BROADWAY ST, MISSOULA, MT 59802-4008
(406) 721-5600
(406) 721-3907
Mailing address
PO BOX 7609, MISSOULA, MT 59807-7609
(406) 721-5600
(406) 721-3907
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
10/24/2006
Last updated
09/02/2016
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