State of Missouri
NPI #1346267424 in Jefferson City, Missouri
Provider Information
- NPI Number
- 1346267424
- Entity Type
- Organization
- Organization Name
- State of Missouri
- Primary Specialty
- Clinical Medical Laboratory
- Enumeration Date
- Jul 16, 2006
- Last Updated
- Jun 27, 2008
Practice Location
- Address
- 101 CHESTNUT ST
- City
- Jefferson City
- State
- Missouri
- ZIP Code
- 65101-4081
- Phone
- (573) 751-3334
Authorized Official
- Name
- DR. ERIC BLANK, PHD
- Title
- LABORATORY DIRECTOR
- Phone
- (573) 751-7233
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinical Medical Laboratory |
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