Eastridge Medical Laboratory Inc

LBN: Eastridge Medical Laboratory Inc
Eastridge Medical Laboratory Inc is an health care organization with primary practice located at 212 South Woodbine Rd , Saint Joseph MO 64506. The organization recently has only one registered license in Laboratories / Clinical Medical Laboratory, which is considered as the primary health care specialty. Eastridge Medical Laboratory Inc can be contacted via phone (816) 233-9313, or through Young, Robert via phone (816) 233-9313.

Contact Information

Primary practice address
212 South Woodbine Rd Saint Joseph MO 64506
Phone: (816) 233-9313
Fax: (816) 233-5043
Website:
Map and Directions
Authorized official contact:
Name: Young, Robert
Phone: (816) 233-9313

Health care specialties

SpecialtyCodeLicense #State
Laboratories / Clinical Medical Laboratory 291U00000X

Profile Details

NPI number 1154317360
LBN Legal business name Eastridge Medical Laboratory Inc
DBA Doing business as
Authorized official Young, Robert
Entity Organization
Organization subpart 1 No
Enumeration date Sep 22nd, 2005
Last updated Mar 5th, 2009 - about 16 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1154317360 NPPES
Other 26DO652292 CLIA
MEDICAID 7059727201 CLIA

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