Provider Demographics
NPI:1639484025
Name:FAST TRACK BILLING INC
Entity Type:Organization
Organization Name:FAST TRACK BILLING INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:EKATERINA
Authorized Official - Middle Name:
Authorized Official - Last Name:SERGEEVA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:801-883-8315
Mailing Address - Street 1:50 W BROADWAY
Mailing Address - Street 2:SUITE 1000
Mailing Address - City:SALT LAKE CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84101-2020
Mailing Address - Country:US
Mailing Address - Phone:801-883-8315
Mailing Address - Fax:
Practice Address - Street 1:50 W BROADWAY
Practice Address - Street 2:SUITE 1000
Practice Address - City:SALT LAKE CITY
Practice Address - State:UT
Practice Address - Zip Code:84101-2020
Practice Address - Country:US
Practice Address - Phone:801-883-8315
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-10
Last Update Date:2010-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Multi-Specialty