MONTANA ENDOSCOPY CENTER, PLLC
NPI 1154945921
Clinic/Center - Ambulatory Surgical in Missoula, MT

Active since June 08, 2020CLIA 27D2227083 · Waiver
1930 W BROADWAY, STE B, MISSOULA, MT 59808(406) 541-6836 Get Directions Write a Review

NPPES record last updated: August 18, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 18, 2021, Jul 28, 2021, Jun 8, 2020 (3 updates tracked since 2020).

About Montana Endoscopy Center, Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MONTANA ENDOSCOPY CENTER, PLLC (NPI 1154945921) is a healthcare organization registered as an ambulatory surgical in Missoula, Montana and active in the NPI registry since June 2020. The organization holds a CLIA Waiver certificate valid through June 7, 2027 and lists Robert Mccarville, Administrator, as its authorized official.

NPPES Registry Identity

NPI1154945921
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameMONTANA ENDOSCOPY CENTER, PLLC
Location Address1930 W BROADWAY, STE BMissoula, MT 59808
Mailing Address2808 S Ingram Mill Rd Bldg BSpringfield, MO 65804-4017 · (417) 889-2040
Organization SubpartNo
Authorized OfficialRobert MccarvilleAdministrator · (417) 889-2040
Enumeration DateJune 8, 2020
Last NPPES UpdateAugust 18, 20213 updates tracked since enumeration
NPPES CertifiedJuly 28, 2021
NPI 1154945921 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
1930 W BROADWAY, Missoula, MT 59808

Accepted Insurance

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 27D2227083

Montana Endoscopy Center PLLC · Missoula, MT
Active · expires Jun 7, 2027
CLIA Number27D2227083
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateJune 8, 2025
Certificate Expiration DateJune 7, 2027
Laboratory DirectorDr. Kevin M. Kolendich
Laboratory Phone(406) 404-6061
Laboratory LocationMontana Endoscopy Center PLLC1930 Broadway Suite B, Missoula, MT 59808
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Areas of Expertise CMS Part B claims 13

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Biopsy of large bowel using a flexible endoscope 45380
A biopsy of the large bowel using a flexible endoscope is a procedure where a thin, flexible tube with a camera is inserted through the rectum to examine the bowel. If abnormal tissue is found, a small sample is taken for further examination. This helps in diagnosing conditions like inflammation, polyps, or cancer.
624 services618 patients
Removal of polyps or growths of large bowel using an endoscope with mechanical snare 45385
This procedure involves using a thin, flexible tube called an endoscope to examine the large bowel. If any abnormal growths or polyps are found, a tool called a mechanical snare is used to remove them. This is a common method to prevent potential health issues.
622 services616 patients
Biopsy of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43239
This procedure involves using a thin, flexible tube with a light and camera, known as an endoscope, to examine the esophagus, stomach, and upper part of the small intestine. Small tissue samples are taken for further examination to help diagnose various conditions.
263 services253 patients
Colorectal cancer screening; colonoscopy on individual at high risk G0105
Colorectal cancer screening, specifically a colonoscopy, is a preventive measure for those at high risk. A thin, flexible tube with a camera inspects the colon to spot any abnormal growths. This test helps detect potential issues early, enhancing the effectiveness of treatment.
157 services157 patients
Colorectal cancer screening; colonoscopy on individual not meeting criteria for high risk G0121
Colorectal cancer screening, such as a colonoscopy, is a preventive measure to detect early signs of cancer in the large intestine. For individuals not at high risk, it's typically recommended at age 50. A small, flexible tube with a camera is used to examine your colon. It's a safe, effective way to catch issues early.
98 services98 patients
Diagnostic exam of esophagus, stomach, and/or upper small bowel using a flexible endoscope 43235
This procedure, known as an upper endoscopy, involves inserting a thin, flexible tube with a camera down the throat to examine the esophagus, stomach, and upper small bowel. It helps diagnose conditions like ulcers or inflammation.
54 services53 patients

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center
1930 W BROADWAY, STE A
MISSOULA, MT 59808

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Montana Endoscopy Center, PLLC's NPI number?

The NPI number for Montana Endoscopy Center, PLLC is 1154945921. It was assigned to this organization in the NPPES registry on June 8, 2020.

Where is Montana Endoscopy Center, PLLC located?

Montana Endoscopy Center, PLLC is located at 1930 W Broadway Ste B, Missoula, MT 59808. The listed phone number is (406) 541-6836.

What is Montana Endoscopy Center, PLLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Montana Endoscopy Center, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 27D2227083) is associated with this NPI, valid through June 7, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

What insurance does Montana Endoscopy Center, PLLC accept?

Health plans from Blue Cross and Blue Shield of Montana, Mountain Health CO-OP and Providence Health Plan list Montana Endoscopy Center, PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Montana Endoscopy Center, PLLC was last updated on August 18, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.