Medical Laboratory Service

LBN: Clinical Laboratory Service
Medical Laboratory Service is an health care organization with primary practice located at 300 N Wilson St Ste 1001, Bozeman MT 59715. The organization recently has only one registered license in Laboratories / Clinical Medical Laboratory, which is considered as the primary health care specialty. Clinical Laboratory Service can be contacted via phone (406) 586-2040, or through Gard, Michael W via phone (406) 586-2040.

Contact Information

Primary practice address
300 N Wilson St Ste 1001 Bozeman MT 59715
Phone: (406) 586-2040
Fax: (406) 586-5577
Website:
Map and Directions
Authorized official contact:
Name: Gard, Michael W
Phone: (406) 586-2040

Health care specialties

SpecialtyCodeLicense #State
Laboratories / Clinical Medical Laboratory 291U00000X 0700410684 Montana

Profile Details

NPI number 1417965328
LBN Legal business name Clinical Laboratory Service
DBA Doing business as Medical Laboratory Service
Authorized official Gard, Michael W
Entity Organization
Organization subpart 1 No
Enumeration date Aug 4th, 2006
Last updated Jul 17th, 2009 - about 15 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1417965328 NPPES
Montana MEDICAID 0420173
Montana Other M000002428
Montana Other 2700410684

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