OrganizationActive
Montana Heart Angio Lab LLC
NPI 1619007101 · Clinical Medical Laboratory · Missoula, MT
Provider details
- NPI number
- 1619007101
- Entity type
- Organization
- Primary specialty
- Clinical Medical LaboratoryLaboratories
- Organization subpart
- No
- Authorized official
- John Dague, Director(406) 327-4131
- License
- 71253 (MT)
Specialties & taxonomies
Laboratories
Profile Score
Detailed profile(89/100 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
2827 Fort Missoula Rd
Missoula, MT 59804-7408
Phone: (406) 327-4614
Fax: (406) 327-4679
Street-level locationGet directions
Mailing address
2827 Fort Missoula Rd
Missoula, MT 59804-7408
Registry dates
- Enumerated
- 2007-03-06
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.