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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

NPI Number 1992789507
LBN Legal business name FERGUSON MEDICAL LABORATORIES INC
Authorized official MICHAEL HURLY - (PRESIDENT)
Entity Organization
Organization subpart 1 No
Enumeration date 12/06/2005
Last updated 01/27/2015 - About 11 years ago
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
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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