Provider Demographics
NPI:1285916023
Name:BRAMAN LABS LLC
Entity type:Organization
Organization Name:BRAMAN LABS LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:B
Authorized Official - Last Name:BRAMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:406-422-1033
Mailing Address - Street 1:2475 E BROADWAY ST
Mailing Address - Street 2:PROFFESSIONAL WING SUITE 100
Mailing Address - City:HELENA
Mailing Address - State:MT
Mailing Address - Zip Code:59601-4928
Mailing Address - Country:US
Mailing Address - Phone:406-422-1033
Mailing Address - Fax:406-422-1032
Practice Address - Street 1:2475 E BROADWAY ST
Practice Address - Street 2:PROFFESSIONAL WING SUITE 100
Practice Address - City:HELENA
Practice Address - State:MT
Practice Address - Zip Code:59601-4928
Practice Address - Country:US
Practice Address - Phone:406-422-1033
Practice Address - Fax:406-422-1032
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-19
Last Update Date:2011-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory