# FERGUSON MEDICAL LABORATORIES INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1992789507
- **Authorized official:** MICHAEL P HURLY M.D. (PRESIDENT)
- **Authorized official phone:** (417) 623-6330

## Contact information

- **Practice address:** 1801 W 32ND ST BLDG B, SUITE 101, JOPLIN, MO 64804-1528
- **Practice address phone:** (417) 623-6330
- **Practice address fax:** (417) 623-3950
- **Mailing address:** PO BOX 20452, FML-CREDENTIALING, COLUMBUS, OH 43220-0452
- **Mailing address phone:** (614) 442-2406
- **Mailing address fax:** (614) 442-2410

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | — | NULL | Yes |
| 207ZP0102X | Anatomic Pathology & Clinical Pathology Physician | — | — | Yes |
| 291U00000X | Clinical Medical Laboratory | 26D0445616 | MO | — |
| 291U00000X | Clinical Medical Laboratory | 26D0445668 | MO | — |
| 291U00000X | Clinical Medical Laboratory | 26D0666300 | MO | — |

## Other

- **Enumeration date:** 12/06/2005
- **Last updated:** 01/27/2015