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Eastridge Medical Laboratory Inc

Clinical Medical Laboratory in Saint Joseph, MO · enumerated 2005 · authorized official Robert Young, Director.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1154317360

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Registry record

Entity type Organization (Type 2)
Legal business name Eastridge Medical Laboratory Inc
Practice address 212 South Woodbine Rd, Saint Joseph, MO, 64506
Phone (816) 233-9313
Fax (816) 233-5043
Enumeration date Sep 22, 2005
Last updated in NPPES Mar 5, 2009

Taxonomy & classification

291U00000X Clinical Medical Laboratory Laboratories Primary

Authorized official

Name Robert Young
Title Director
Phone (816) 233-9313

Other identifiers

Identifier Type State Issuer
26DO652292 Other - CLIA
7059727201 Medicaid KS -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is the NPI number for Eastridge Medical Laboratory Inc?
The NPI for Eastridge Medical Laboratory Inc is 1154317360, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Eastridge Medical Laboratory Inc?
NPPES lists Robert Young (Director) as the authorized official for this organization.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2009-03-05.