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Contact Information

FERGUSON MEDICAL LABORATORIES INC
1801 W 32ND ST BLDG B
SUITE 101
JOPLIN, MO64804-1528
 Phone: 417-623-6330
 Fax: 417-623-3950
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Anatomic Pathology & Clinical Pathology

207ZP0102X 22 Physician/Pathology
 

Clinical Medical Laboratory

291U00000X 69 Clinical Laboratory
Indicates primary specialty

NPI Profile & details for FERGUSON MEDICAL LABORATORIES INC · (Female)

NPI Number 1992789507
Status Active
Credentials
Entity Individual
Enumeration date 12/06/2005
Last updated 01/27/2015 - About 11 years ago
Sole proprietor 1 Not specified
Identifiers
  • MO License # 26D0445616
  • MO License # 26D0445668
  • MO License # 26D0666300
  • KS Medicaid 100410710A
  • MO Medicaid 700432206
  • Other 183098 HEALTHLINK
  • Other F21460 MERCY
  • Other 00002307 NHC HEALTH
  • Other CN6673 TRAVELERS
  • MO Other 2182 BCBS
  • MO Other 690077013 RR MEDICARE
  • MO Other CN6673 RR MEDICARE
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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