ALLERGY AND ASTHMA CONSULTANTS OF MONTANA, PLLC
NPI 1629090758
Specialist in Bozeman, MT

Active since July 25, 2006CLIA 27D1036191 · Waiver
2055 N 22ND AVE, SUITE 1, BOZEMAN, MT 59718(406) 582-1111(406) 582-1112 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Allergy And Asthma Consultants Of Montana, Pllc NPPES

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

ALLERGY AND ASTHMA CONSULTANTS OF MONTANA, PLLC (NPI 1629090758) is a healthcare organization registered as a specialist in Bozeman, Montana and active in the NPI registry since July 2006. The organization holds a CLIA Waiver certificate valid through January 23, 2027 and lists Pat Wanderer, Practice Manager, as its authorized official.

NPPES Registry Identity

NPI1629090758
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameALLERGY AND ASTHMA CONSULTANTS OF MONTANA, PLLC
Location Address2055 N 22ND AVE, SUITE 1Bozeman, MT 59718-2783
Mailing Address2055 N 22nd Ave, Suite 1Bozeman, MT 59718-2783 · (406) 582-1111 · Fax (406) 582-1112
Fax(406) 582-1112
Organization SubpartNo
Authorized OfficialPat WandererPractice Manager · (406) 582-1111
Enumeration DateJuly 25, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1629090758 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
2055 N 22ND AVE, Bozeman, MT 59718

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 27D1036191

Allergy & Asthma Consultants Of Montana · Bozeman, MT
Active · expires Jan 23, 2027
CLIA Number27D1036191
Laboratory TypePhysician Office
Certificate Effective DateJanuary 24, 2025
Certificate Expiration DateJanuary 23, 2027
Laboratory DirectorDr. Michael C. Di Cello
Laboratory Phone(406) 582-1111
Laboratory LocationAllergy & Asthma Consultants Of Montana1188 North 15th Ave Suite 3, Bozeman, MT 59715
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

Allergy & Immunology
2055 N 22ND AVE, STE 1
BOZEMAN, MT 59718
Dentist (Endodontics)
2055 N 22ND AVE, SUITE 3
BOZEMAN, MT 59718

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 Allergy And Asthma Consultants Of Montana, PLLC's NPI number?

The NPI number for Allergy And Asthma Consultants Of Montana, PLLC is 1629090758. It was assigned to this organization in the NPPES registry on July 25, 2006.

Where is Allergy And Asthma Consultants Of Montana, PLLC located?

Allergy And Asthma Consultants Of Montana, PLLC is located at 2055 N 22nd Ave Suite 1, Bozeman, MT 59718. The listed phone number is (406) 582-1111.

What is Allergy And Asthma Consultants Of Montana, PLLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does Allergy And Asthma Consultants Of Montana, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 27D1036191) is associated with this NPI, valid through January 23, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Allergy And Asthma Consultants Of Montana, PLLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.