Mo State Public Health Laboratory

LBN: State Of Missouri
Mo State Public Health Laboratory is an health care organization with primary practice located at 101 Chestnut St , Jefferson City MO 65101-4081. The organization recently has only one registered license in Laboratories / Clinical Medical Laboratory, which is considered as the primary health care specialty. State Of Missouri can be contacted via phone (573) 751-3334, or through Blank, Eric via phone (573) 751-7233.

Contact Information

Primary practice address
101 Chestnut St Jefferson City MO 65101-4081
Phone: (573) 751-3334
Fax: (573) 526-2754
Website:
Map and Directions
Authorized official contact:
Name: Blank, Eric PHD
Phone: (573) 751-7233

Health care specialties

SpecialtyCodeLicense #State
Laboratories / Clinical Medical Laboratory 291U00000X

Profile Details

NPI number 1346267424
LBN Legal business name State Of Missouri
DBA Doing business as Mo State Public Health Laboratory
Authorized official Blank, Eric PHD
Entity Organization
Organization subpart 1 No
Enumeration date Jul 16th, 2006
Last updated Jun 27th, 2008 - 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 1346267424 NPPES
Missouri MEDICAID 703405001

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