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State of Missouri

Clinical Medical Laboratory in Jefferson City, MO · enumerated 2006 · authorized official Eric Blank, Laboratory Director.

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

National Provider Identifier

1346267424

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Registry record

Entity type Organization (Type 2)
Legal business name State of Missouri
Other name <Unavail>
Practice address 101 Chestnut St, Jefferson City, MO, 65101
Fax (573) 526-2754
Enumeration date Jul 16, 2006
Last updated in NPPES Jun 27, 2008

Taxonomy & classification

291U00000X Clinical Medical Laboratory Laboratories Primary

Authorized official

Name Eric Blank
Title Laboratory Director

Other identifiers

Identifier Type State Issuer
703405001 Medicaid MO -

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 a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is State of Missouri?
State of Missouri is registered in NPPES as a Clinical Medical Laboratory (its primary provider taxonomy).

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2008-06-27.