| Central Mt Laboratory, Llc | |
|
3511 1st Ave N Great Falls MT 59401-3527 | |
| (406) 454-1211 | |
| (406) 454-9916 |
| Full Name | Central Mt Laboratory, Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 3511 1st Ave N, Great Falls, Montana |
| Authorized Official Name and Position | Lila Goodau (OFFICE MANAGER) |
| Authorized Official Contact | 4064541211 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Central Mt Laboratory, Llc 3511 1st Ave N Great Falls MT 59401-3527 Ph: (406) 454-1211 | Central Mt Laboratory, Llc 3511 1st Ave N Great Falls MT 59401-3527 Ph: (406) 454-1211 |
| NPI Number | 1023345949 |
|---|---|
| Provider Enumeration Date | 11/13/2009 |
| Last Update Date | 11/13/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023345949 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 8293 (Montana) | Primary |
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