Provider Demographics
NPI:1801000450
Name:MCF,LLC
Entity Type:Organization
Organization Name:MCF,LLC
Other - Org Name:SPORTSLIFE CHIROPRACTIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:WARREN
Authorized Official - Middle Name:
Authorized Official - Last Name:FRIED
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-831-6000
Mailing Address - Street 1:PO BOX 670
Mailing Address - Street 2:
Mailing Address - City:CHANDLER
Mailing Address - State:AZ
Mailing Address - Zip Code:85244-0670
Mailing Address - Country:US
Mailing Address - Phone:480-831-6000
Mailing Address - Fax:480-831-6470
Practice Address - Street 1:2100 N DOBSON RD
Practice Address - Street 2:
Practice Address - City:CHANDLER
Practice Address - State:AZ
Practice Address - Zip Code:85224-2288
Practice Address - Country:US
Practice Address - Phone:480-831-6000
Practice Address - Fax:480-831-6470
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty