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Glacier Regional Pathology, Ltd.

Pathology, Anatomic Pathology in Kalispell, MT. Organization (NPI-2).

NPI number1619081767
StatusActive
Last updated in NPPESOct 28, 2024

Details

NPI
1619081767
Entity type
Organization (NPI-2)
Legal business name
Glacier Regional Pathology, Ltd.
Organization subpart
No
Enumeration date
Aug 18, 2006
Certification date
Oct 9, 2024
Last updated
Oct 28, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207ZP0101X Pathology, Anatomic Pathology––Yes

Practice location

310 Sunnyview Lane
Pathology Department
Kalispell, MT 59901-3129

Phone 406-752-1789 · Fax 406-751-5776

Mailing address

Po Box 10760
Kalispell, MT 59904-3760

Phone 406-752-1789 · Fax 406-751-5776

Authorized official

Pete Anthony Fisher
President
4067521789

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