NPIMap

Organization Active NPI

Central Montana Laboratory, LLC

  • Clinical Medical Laboratory
  • Great Falls, MT
National Provider Identifier
1164519377
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
CENTRAL MONTANA LABORATORY, LLC
Practice address
1411 9TH St S
Suite B101
Great Falls, MT 59405-4503
Phone
(406) 454-1211
Fax
(406) 454-9916
NPI assigned
Oct 8, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Allyn E Christiaens
Title
Member
Phone
(406) 454-1211

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X MT Primary

Addresses

Primary practice location

1411 9TH St S
Suite B101
Great Falls, MT 59405-4503

Mailing address

1411 9TH St S
Suite B101
Great Falls, MT 59405-4503
Phone (406) 454-1211

Other identifiers 1

IdentifierTypeStateIssuer
1164519377OtherMTNPI

National Provider Directory

National Provider Directory

Locations

1411 9th St S
Ste B101
Great Falls, MT 59405
Phone (406) 454-1211

Practitioners & affiliated clinicians

Practitioners 19

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1160265600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1164519377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1411 9TH ST S",
            "address_2": "SUITE B101",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594054503",
            "telephone_number": "406-454-1211",
            "fax_number": "406-454-9916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 9TH ST S",
            "address_2": "SUITE B101",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594054503",
            "telephone_number": "406-454-1211",
            "fax_number": "406-454-9916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL MONTANA LABORATORY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-08",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CHRISTIAENS",
        "authorized_official_first_name": "ALLYN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "406-454-1211"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "MT",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1164519377",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Great Falls, MT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.