OrganizationFortis Lab Management, Llc.Clinical Medical LaboratoryLaboratoriesPractice Address15210 N Scottsdale Rd, Suite 210, Scottsdale, AZ 85254-8124(520) 477-8907PECOS EnrollmentBased on the most recent information from CMS, provider Fortis Lab Management, Llc. does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records yesterday at 12:57 PM.Profile DetailsProvider ID1659751246Provider TypeOrganizationFull NameFortis Lab Management, Llc.SubpartNoEnumeration Date6/9/2015Last Updated6/9/2015Contact InformationPractice LocationPractice Address15210 N Scottsdale Rd, Suite 210, Scottsdale, AZ 85254-8124Phone(520) 477-8907FaxUnlisted FaxMailing LocationMailing Address4969 Van Dyke Rd, Suite 210, Lutz, FL 33558-4813Phone(520) 477-8907FaxUnlisted FaxAuthorized OfficialNamePiper, Michael (Manager)Phone(813) 390-8181Provider TaxonomiesCodeDescriptionLicenseCode291U00000XPrimaryDescriptionClinical Medical LaboratoryLaboratoriesLicense800027166Florida