CLINICAL LABORATORY SERVICE (NPI# 1417965328) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417965328 |
| Entity Type | Organization |
| Organization Name | CLINICAL LABORATORY SERVICE |
| Other Organization Name | MEDICAL LABORATORY SERVICE |
| Practice Address |
300 N Wilson St Ste 1001 Bozeman MT 59715 |
| Mailing Address |
300 N Willson Ave Ste 1001 Bozeman MT 59715-3551 |
| Practice Telephone | 4065862040 |
| Practice Fax Number | 4065865577 |
| Mailing Telephone | 4065862040 |
| Mailing Fax Number | 4065865577 |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2009-07-17 |
| Authorized Official Name | MICHAEL W GARD (CFO) |
| Authorized Official Telephone | 4065862040 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 291U00000X | Clinical Medical Laboratory | 0700410684 | MT | Laboratories |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MT | CLIA | 2700410684 | 01 |
| MT | MEDICARE PTAN | M000002428 | 01 |
| MT | 0420173 | 05 |
| Other Name | Type Code |
|---|---|
| Medical Laboratory Service | Former Legal Business Name - Organization |
| Street Address |
300 N WILSON ST STE 1001 |
| City | BOZEMAN |
| State | MT |
| Zip Code | 59715 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477152288 | Ch Mh Services (il), LLC | Clinic/Center | 233 E Main St Suite 401, Bozeman, MT 59715 | 2020-10-22 |
| 1134735269 | Montana Therapy and Consulting Pllc | Social Worker | 110 S Grand Ave, Floor 2, Bozeman, MT 59715 | 2020-09-23 |
| 1831715994 | Alyson Raph | Student in an Organized Health Care Education/Training Program | 1 Anna Pearl Sherrick Hal, Bozeman, MT 59715 | 2020-06-24 |
| 1639702780 | Miranda Shields | Massage Therapist | 1001 W. Oak St. Bldg C Ste 210, Bozeman, MT 59715 | 2020-02-18 |
| 1154988590 | Christina Yancy | Massage Therapist | Bldg C, Ste 210, 1001 W Oak St, Bozeman, MT 59715 | 2019-05-21 |
| 1962068767 | Julie A Hisey | Physical Therapist | 1700 W. Koch, Suite 12, Bozeman, MT 59715 | 2019-05-16 |
| 1639631633 | Joshua Wallace | Massage Therapist | 1001 W Oak St, Bldg. C Ste. 210, Bozeman, MT 59715 | 2019-04-01 |
| 1528523388 | Judith Margaret Firehammer | Psychologist | 37 East Main St, Suite 7, Bozeman, MT 59715 | 2019-02-06 |
| 1194280875 | Erica Kotick | Counselor | 2246 Boot Hill Court, Suite 4, Bozeman, MT 59715 | 2019-02-06 |
| 1194291609 | Providence Mental Health Pllc | Social Worker | 2246 Boot Hill Ct. Unit #4, Bozeman, MT 59715 | 2018-10-23 |
| Find all providers in zip 59715 | ||||
| Taxonomy Code | 291U00000X |
| Grouping | Laboratories |
| Classification | Clinical Medical Laboratory |
| (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. |
| Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013531979 | Rocky Mountain Biometrx | Clinical Medical Laboratory | 3511 1st Ave N Ste 2, Great Falls, MT 59401-3527 | 2020-06-05 |
| 1396246641 | Laboratory Corporation of America | Clinical Medical Laboratory | 2900 12th Ave N Ste 150w, Billings, MT 59101-7511 | 2018-02-22 |
| 1134627409 | Karla Rae Forster | Clinical Medical Laboratory | 1636 Hidden Cove Ln, Billings, MT 59101-9164 | 2018-01-31 |
| 1487179123 | Quest Diagnostics Clinical Laboratories Inc | Clinical Medical Laboratory | 2900 12th Ave N Ste 255w, Billings, MT 59101-7519 | 2017-08-03 |
| 1568857100 | Kalispell Denture Studio, LLC | Clinical Medical Laboratory | 79531 Us Highway 93, Elmo, MT 59915-9726 | 2015-03-31 |
| 1518359389 | Scott Inc | Clinical Medical Laboratory | 2425 Us Highway 2 E, Kalispell, MT 59901-2309 | 2015-03-03 |
| 1184876385 | Pamela S. Rehurek | Clinical Medical Laboratory | Hwy 212, Crow Agency, MT 59022 | 2008-10-21 |
| 1053533471 | Phillips County Hospital Lab Xray | Clinical Medical Laboratory | 311 8th Ave So, Malta, MT 59538 | 2007-05-03 |
| 1770700353 | Newport Pathology | Clinical Medical Laboratory | 966 Missoula Ave, Troy, MT 59935-9624 | 2007-04-18 |
| 1144395518 | Helena Medical Laboratory, Inc | Clinical Medical Laboratory | 27 Neill Ave Ste 103, Helena, MT 59601-3383 | 2006-11-21 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.