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Contact Information

MONTANA HEART ANGIO LAB LLC
2827 FORT MISSOULA RD
MISSOULA, MT59804-7408
 Phone: 406-327-4614
 Fax: 406-327-4679
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical Medical Laboratory

291U00000X 69 Clinical Laboratory
Indicates primary specialty

NPI Profile & details for MONTANA HEART ANGIO LAB LLC

NPI Number 1619007101
LBN Legal business name MONTANA HEART ANGIO LAB LLC
Authorized official JOHN DAGUE - (DIRECTOR)
Entity Organization
Organization subpart 1 No
Enumeration date 03/06/2007
Last updated 08/22/2020 - About 6 years ago
Identifiers
MT License # 71253
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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