Organization Active NPI

Summit Laboratory Partnership

  • Clinical Medical Laboratory
  • Butte, MT
National Provider Identifier
1134215635
Registry record updated Aug 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
SUMMIT LABORATORY PARTNERSHIP
Practice address
435 S Crystal St
Suite 210
Butte, MT 59701-1506
Phone
(406) 496-3612
Fax
(406) 496-3608
NPI assigned
Oct 4, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2011

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

Authorized official

Name
Mr. Thomas E Ringo
Title
Summit Lab Manager
Phone
(406) 496-3612

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

435 S Crystal St
Suite 210
Butte, MT 59701-1506

Mailing address

435 S Crystal St
Suite 300
Butte, MT 59701-1506
Phone (406) 496-3612

Other identifiers 1

IdentifierTypeStateIssuer
10420459MedicaidMT

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313712000000",
    "number": "1134215635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "435 S CRYSTAL ST",
            "address_2": "SUITE 300",
            "city": "BUTTE",
            "state": "MT",
            "postal_code": "597011506",
            "telephone_number": "406-496-3612",
            "fax_number": "406-496-3608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 S CRYSTAL ST",
            "address_2": "SUITE 210",
            "city": "BUTTE",
            "state": "MT",
            "postal_code": "597011506",
            "telephone_number": "406-496-3612",
            "fax_number": "406-496-3608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUMMIT LABORATORY PARTNERSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2011-08-19",
        "status": "A",
        "authorized_official_last_name": "RINGO",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "SUMMIT LAB MANAGER",
        "authorized_official_telephone_number": "406-496-3612",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10420459",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Butte, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.