Provider Demographics
NPI:1952055196
Name:FASWAY MEDICAL LLC
Entity Type:Organization
Organization Name:FASWAY MEDICAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:TASKEEN
Authorized Official - Middle Name:
Authorized Official - Last Name:AHSAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:857-316-7261
Mailing Address - Street 1:665 NE 25TH ST APT 1804
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33137-4855
Mailing Address - Country:US
Mailing Address - Phone:857-316-7261
Mailing Address - Fax:
Practice Address - Street 1:13130 BISCAYNE BLVD
Practice Address - Street 2:
Practice Address - City:NORTH MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33181-2013
Practice Address - Country:US
Practice Address - Phone:857-316-7261
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-07
Last Update Date:2022-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory