OrganizationActive
Clinical Laboratory Service
NPI 1417965328 · Clinical Medical Laboratory · Bozeman, MT
Provider details
- NPI number
- 1417965328
- Entity type
- Organization
- Primary specialty
- Clinical Medical LaboratoryLaboratories
- Organization subpart
- No
- Authorized official
- Michael Gard, Cfo(406) 586-2040
- License
- 0700410684 (MT)
Specialties & taxonomies
Laboratories
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
300 N Wilson St
Ste 1001
Bozeman, MT 59715
Phone: (406) 586-2040
Fax: (406) 586-5577
Street-level locationGet directions
Mailing address
300 N Willson Ave
Bozeman, MT 59715-3551
Other names (DBA / former)
- Former legal business name
- Medical Laboratory Service
Registry dates
- Enumerated
- 2006-08-04
- Last updated
- 2009-07-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.