Provider Demographics
NPI:1154089241
Name:FAST LAB TECHNOLOGIES LLC
Entity Type:Organization
Organization Name:FAST LAB TECHNOLOGIES LLC
Other - Org Name:FAST LAB TECH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:CEMHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:BIRICIK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:917-503-9404
Mailing Address - Street 1:1178 BROADWAY STE 329
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10001-5404
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1178 BROADWAY
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10001-5404
Practice Address - Country:US
Practice Address - Phone:917-503-9404
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-06
Last Update Date:2023-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes291U00000XLaboratoriesClinical Medical LaboratoryGroup - Multi-Specialty