PROVIDENCE HEALTH & SERVICES MT NPI 1316605637

NPI Information

  • NPI: 1316605637
  • Provider Name: PROVIDENCE HEALTH & SERVICES MT
  • Classification: Clinical Medical Laboratory - 291U00000X
  • Entity Type: Organization
  • :
  • CLIA Number: 27D1088815
  • Address: 3075 N RESERVE ST STE Q
    MISSOULA, MT
    ZIP 59808
  • Phone: (406) 327-1850

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NPI Details

PROVIDENCE HEALTH & SERVICES MT is a clinical medical laboratory in Missoula, MT. The provider is (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. PROVIDENCE HEALTH & SERVICES MT NPI is 1316605637. The provider is registered as an organization entity type.
The provider .

The provider's business location address is:

3075 N RESERVE ST STE Q
MISSOULA, MT
ZIP 59808-390
Phone: (406) 327-1850

The provider's authorized official is Donald W Anderson .
The authorized official title is Dir Reimb Reg Strat/asst Sec Enroll and has the following contact phone number (425) 358-9786.

The CLIA number assigned to this NPI record is 27D1088815 - physician office with a certificate type of Certificate of Compliance.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Insertion of needle into vein for collection of blood sample (HCPCS:36415)
  • Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count (HCPCS:85025)
  • Hemoglobin a1c level (HCPCS:83036)
  • Red blood cell sedimentation rate, to detect inflammation, non-automated (HCPCS:85651)
  • Manual urinalysis test with examination using microscope, automated (HCPCS:81001)
  • Complete blood cell count (red cells, white blood cell, platelets), automated test (HCPCS:85027)
  • Urinalysis using microscope (HCPCS:81015)
  • Blood count, hemoglobin (HCPCS:85018)
  • Smear for infectious agents (HCPCS:87210)
  • Red blood cell concentration measurement (HCPCS:85014)
  • Automated urinalysis test (HCPCS:81003)

The enumeration date for this NPI number is 12/3/2021 and was last updated on 5/6/2025.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1291U00000XClinical Medical LaboratoryYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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