TRAVIS IRISH, CHIROPRACTOR
NPI 1336534239
Clinic/Center in Bozeman, MT
- Organization
- Clinic/Center
- CLIA Number: 27D1002262
- CLIA Cert. Type: Community Clinic
- CLIA Exp. Date: 05-22-2026
About TRAVIS IRISH, CHIROPRACTOR
This page provides the complete NPI Profile along with additional information for Travis Irish, Chiropractor, a provider established in Bozeman, Montana operating as a Clinic/center. The healthcare provider is registered in the NPI registry with number 1336534239 assigned on March 2015. The practitioner's primary taxonomy code is 261Q00000X with license number CHI998 (MT). The provider is registered as an organization and their NPI record was last updated 11 years ago. The authorized official of this NPI record is Travis Irish D.c. (Chiropractor)
- NPI
- 1336534239 Verify this NPI
- Provider Name
- TRAVIS IRISH, CHIROPRACTOR
- Entity Type
- Organization
- Location Address
- 333 HAGGERTY LN STE 4 BOZEMAN, MT 59715
- Location Phone
- (406) 580-0120
- Mailing Address
- 333 HAGGERTY LN STE 4 BOZEMAN, MT 59715
- Mailing Phone
- (406) 580-0120
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 03-30-2015
- Last Update Date
- 03-30-2015
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center
- Taxonomy Code
- 261Q00000X
- Type
- Ambulatory Health Care Facilities
- License No.
- CHI998
- License State
- MT
- Taxonomy Description
- A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 27D1002262
- Facility Type
- Community Clinic
- Certificate Effective Date
- August 02, 2002
- Certificate Expiration Date
- May 22, 2026
- Laboratory Director
- DANIEL HARTER
- Certificate Type
- Certificate of Accreditation
- Certificate Type Description
- This is a CLIA certificate is issued to Travis Irish, Chiropractor on the basis of the laboratory's accreditation by an accreditation organization approved by CMS. This type of certificate is issued to a laboratories tha perform nonwaived (moderate and/or high complexity) testing.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1336534239, enumerated as an "organization" on March 30, 2015.
The provider is located at 333 HAGGERTY LN STE 4 BOZEMAN, MT 59715 and the phone number is (406) 580-0120.
Clinic/Center with taxonomy code 261Q00000X.
