Fortis Lab Management, LLC.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

800027166 Issued in FL

Legal business name

FORTIS LAB MANAGEMENT, LLC.

Practice address

15210 N Scottsdale Rd
Suite 210
Scottsdale, AZ 85254-8124

Phone

(520) 477-8907

NPI assigned

Jun 9, 2015

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Michael Piper

Title

Manager

Phone

(813) 390-8181

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1433808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1433808000000",
    "number": "1659751246",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4969 VAN DYKE RD",
            "address_2": "SUITE 210",
            "city": "LUTZ",
            "state": "FL",
            "postal_code": "335584813",
            "telephone_number": "520-477-8907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15210 N SCOTTSDALE RD",
            "address_2": "SUITE 210",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852548124",
            "telephone_number": "520-477-8907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORTIS LAB MANAGEMENT, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-09",
        "last_updated": "2015-06-09",
        "status": "A",
        "authorized_official_last_name": "PIPER",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "813-390-8181"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "FL",
            "license": "800027166",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sarah Anne Forster, M.A.S., L.A.M.F.T.
• Emily M Forsythe, MA CCC-SLP
• Scott Christian Forte
• Shannon Fortin Ensign, M.D.
• Lisa Fortino
• Mirinisa Fortunato, COTA
• Fortune Vein Clinic
• Robert Lloyd Fortune, M.D.
• Forward Medical LLC
• Alison Foster-Goldman, MD

• Clinical Medical Laboratory in Scottsdale, AZ
• Providers in Scottsdale, AZ by specialty
• Clinical Medical Laboratory in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.