Adlera Laboratory LLC
Organization Active NPI Clinical Medical Laboratory · Great Falls, MT
NPI 1083171748 · NPPES record last updated Oct 2, 2023
Key facts
- NPI
- 1083171748
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Medical Laboratory 291U00000X
- Legal business name
- ADLERA LABORATORY LLC
- Practice address
- 601 1St Ave N
Great Falls, MT 59401-2510 - Phone
- (406) 454-6973
- NPI assigned
- Feb 28, 2019
- Organization subpart
- No
Authorized official
- Name
- Trista Besich
- Title
- Ceo
- Phone
- (406) 761-9887
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | Yes |
Addresses
Primary practice location
601 1St Ave N
Great Falls, MT 59401-2510
Mailing address
601 1St Ave N
Great Falls, MT 59401-2510
Other practice location 1
510 1st Ave N
Great Falls, MT 59401-2592
Phone (406) 454-1211
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| C1107015-12232941 | Other | MT | STATE OF MT CERTIFICATION |
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All providers in Great Falls, MT · Clinical Medical Laboratory in Montana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 2, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.