Organization
FRY LABORATORIES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN EUGENE FRY MD (OWNER)
(480) 292-8560
Entity
Organization
Contact information
Practice address
14807 N 73RD ST #103, SCOTTSDALE, AZ 85260
(480) 292-8560
(480) 222-1142
Mailing address
14807 N 73RD ST #103, SCOTTSDALE, AZ 85260
(480) 292-8560
(480) 222-1142
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
1030708
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2128603
PTAN
AZ
Enumeration date
07/15/2008
Last updated
12/16/2020
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