Fry Laboratories LLC
Clinical Medical Laboratory in Scottsdale, AZ. Organization (NPI-2).
NPI number1457515744
StatusActive
Last updated in NPPESDec 16, 2020
Details
- NPI
- 1457515744
- Entity type
- Organization (NPI-2)
- Legal business name
- Fry Laboratories LLC
- Organization subpart
- No
- Enumeration date
- Jul 15, 2008
- Certification date
- Dec 16, 2020
- Last updated
- Dec 16, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 291U00000X | Clinical Medical Laboratory | 1030708 | AZ | Yes |
Practice location
14807 N 73rd St #103Scottsdale, AZ 85260
Phone 480-292-8560 · Fax 480-222-1142
Mailing address
14807 N 73rd St #103Scottsdale, AZ 85260
Phone 480-292-8560 · Fax 480-222-1142
Authorized official
Stephen Eugene Fry
Owner
4802928560
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