Organization
FORTIS LAB MANAGEMENT, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL PIPER (MANAGER)
(813) 390-8181
Entity
Organization
Contact information
Practice address
15210 N SCOTTSDALE RD, SUITE 210, SCOTTSDALE, AZ 85254-8124
(520) 477-8907
Mailing address
4969 VAN DYKE RD, SUITE 210, LUTZ, FL 33558-4813
(520) 477-8907
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
800027166
FL
Other
Enumeration date
06/09/2015
Last updated
06/09/2015
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