Organization Active NPI

Mountain View Pathology Associates PLLC

  • Clinical Medical Laboratory
  • Great Falls, MT
National Provider Identifier
1770835472
Registry record updated Oct 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
MOUNTAIN VIEW PATHOLOGY ASSOCIATES PLLC
Practice address
2619 16TH Ave S
Great Falls, MT 59405-5202
Phone
(406) 727-0484
Fax
(406) 453-9504
NPI assigned
Oct 5, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2012

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

Authorized official

Name
Brenton A Meda, MD
Title
Member
Phone
(406) 727-0484

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

2619 16TH Ave S
Great Falls, MT 59405-5202

Mailing address

2619 16TH Ave S
Great Falls, MT 59405-5202
Phone (406) 727-0484

National Provider Directory

National Provider Directory

Locations

2619 16th Ave S
Great Falls, MT 59405
Phone (406) 315-3398

401 15th Ave S
Ste 204
Great Falls, MT 59405
Phone (406) 727-0484

NPI Registry JSON

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

{
    "created_epoch": "1349395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349395200000",
    "number": "1770835472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2619 16TH AVE S",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594055202",
            "telephone_number": "406-727-0484",
            "fax_number": "406-453-9504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2619 16TH AVE S",
            "city": "GREAT FALLS",
            "state": "MT",
            "postal_code": "594055202",
            "telephone_number": "406-727-0484",
            "fax_number": "406-453-9504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOUNTAIN VIEW PATHOLOGY ASSOCIATES PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-05",
        "last_updated": "2012-10-05",
        "status": "A",
        "authorized_official_last_name": "MEDA",
        "authorized_official_first_name": "BRENTON",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "406-727-0484",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "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 Oct 5, 2012; 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.