Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Providence Health & Services Mt

Organization Clinical Medical Laboratory · NPI 1316605637

Providence Health & Services Mt is a Clinical Medical Laboratory in Missoula, Montana. Works from 2 locations. Registered with an NPI since 2021.

In the registry since
2021

Practice location Address checks out

3075 N Reserve St Ste Q
Missoula, MT 59808-1390
Phone: (406) 327-1850
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 601 W Spruce St Ste K, Missoula, MT 59802-4047 — (406) 329-5838

Specialties & licences

Clinical Medical Laboratory (primary) Taxonomy 291U00000X

Record details

NPI number1316605637
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Donald Anderson — Dir Reimb Reg Strat/Asst Sec Enroll · (425) 358-9786
Other names Providence Medical Group Montana; Providence Medical Group Montana; Pmg Mt
NPI enumeratedDecember 3, 2021
Last updated in NPPESFebruary 10, 2026
Certification dateFebruary 10, 2026
Mailing addressPo Box 31001 - 4114, Pasadena, CA 91110-4114

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