NPI 1558335869

Ketchum Wood & Burgert Chartered Drs Ketchum Wood & Burgert

Organisation Clinical Medical Laboratory Tallahassee, FL

Practice location

Address: 1899 Eider CT, Tallahassee, FL 32308-4537
Phone: (850) 878-5143
Fax: (850) 942-6622

Authorised official

Name: Angela Fuqua
Title: Administrator
Phone: (850) 219-7603

Registered specialties

Clinical Medical Laboratory Primary

Laboratories Taxonomy 291U00000X Licence 800000042 (FL)

Other Clinical Medical Laboratory providers in Florida →

Registry record

NPI: 1558335869
Entity type: Organization
NPI issued: 14 Feb 2006
Record last updated: 15 May 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.