27D2270902 CLIA NUMBER - INTEGRATIVE MENTAL HEALTH SERVICES

Laboratory Demographics

CLIA Number: 27D2270902

Facility Name: INTEGRATIVE MENTAL HEALTH SERVICES

Facility Address:
926 MAIN STREET, SUITE 14
BILLINGS, MT
ZIP 59105
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Facility Phone Number: 406 702-1466

Facility Type: Practitioner Other

Certificate Type: Waiver

NPI Number: 1073111746

Taxonomy: 363LP0808X - Nurse Practitioner

CLIA Record

Field Name	Field Value
CLIA Number	27D2270902
LAB Type	Practitioner Other
Facility Name	INTEGRATIVE MENTAL HEALTH SERVICES
Street	926 MAIN STREET, SUITE 14
City	BILLINGS
State	MT
ZIP	59105
Phone	406 702-1466
CertificateType	4
CertificateEffectiveDate	10/24/2022
CertificateExpirationDate	10/23/2024
FacilityType	Waiver

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This page was last updated on: 4/23/2024