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Physician Laboratory Services, INC

Pathology, Anatomic Pathology & Clinical Pathology in Bozeman, MT. Organization (NPI-2).

NPI number1932274040
StatusActive
Last updated in NPPESApr 9, 2008

Details

NPI
1932274040
Entity type
Organization (NPI-2)
Legal business name
Physician Laboratory Services, INC
Organization subpart
No
Enumeration date
Nov 22, 2006
Last updated
Apr 9, 2008

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology––Yes

Practice location

931 Highland Blvd
Suite 3220
Bozeman, MT 59715-6911

Phone 406-587-1261 · Fax 406-587-3928

Mailing address

931 Highland Blvd
Suite 3220
Bozeman, MT 59715-6911

Phone 406-587-1261 · Fax 406-587-3928

Authorized official

Benjamin Blend
President
4065871261

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