Eastridge Medical Laboratory INC
NPI #1154317360 in Saint Joseph, Missouri
Provider Information
- NPI Number
- 1154317360
- Entity Type
- Organization
- Organization Name
- Eastridge Medical Laboratory INC
- Primary Specialty
- Clinical Medical Laboratory
- Enumeration Date
- Sep 22, 2005
- Last Updated
- Mar 5, 2009
Practice Location
- Address
- 212 SOUTH WOODBINE RD
- City
- Saint Joseph
- State
- Missouri
- ZIP Code
- 64506
- Phone
- (816) 233-9313
Authorized Official
- Name
- MR. ROBERT YOUNG
- Title
- DIRECTOR
- Phone
- (816) 233-9313
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinical Medical Laboratory |
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