Organization Active NPI

Inhealth Life Sciences LLC

  • Clinical Medical Laboratory
  • Bozeman, MT
National Provider Identifier
1104466994
Registry record updated May 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
INHEALTH LIFE SCIENCES LLC
Practice address
40 Enterprise Blvd
Bozeman, MT 59718-6912
Phone
(800) 976-1495
NPI assigned
Jan 9, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Trent McCallson
Title
Ao
Phone
(702) 287-7375

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology PhysicianGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 207ZP0102X
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

40 Enterprise Blvd
Bozeman, MT 59718-6912

Mailing address

3340 Sunrise Ave Ste 105
Las Vegas, NV 89101-4830
Phone (702) 452-4999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20201020002169 MT Part B Supplier - Independent Clinical Laboratory 1153741715 Practice locations: Bozeman, MT

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
27D2171552Inhealth Life Sciences40 Enterprise Blvd, Bozeman, MT 59718AccreditationAug 24, 2027

National Provider Directory

National Provider Directory

Locations

40 Enterprise Blvd
Bozeman, MT 59718
Phone (800) 976-1495

960 Technology Blvd
Ste 2
Bozeman, MT 59718
Phone (800) 976-1495

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1578528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747267200000",
    "number": "1104466994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3340 SUNRISE AVE STE 105",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891014830",
            "telephone_number": "702-452-4999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 ENTERPRISE BLVD",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597186912",
            "telephone_number": "800-976-1495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INHEALTH LIFE SCIENCES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-09",
        "last_updated": "2025-05-15",
        "certification_date": "2025-05-15",
        "status": "A",
        "authorized_official_last_name": "MCCALLSON",
        "authorized_official_first_name": "TRENT",
        "authorized_official_title_or_position": "AO",
        "authorized_official_telephone_number": "702-287-7375"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bozeman, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.