Active NPI
Summit Laboratory Partnership
- Clinical Medical Laboratory
- Butte, MT
National Provider Identifier
1134215635
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10420459 | Medicaid | MT |
National Provider Directory
National Provider DirectoryNPI 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.