Provider Demographics
NPI:1023633591
Name:FAST DME LLC
Entity type:Organization
Organization Name:FAST DME LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:FATIMA
Authorized Official - Middle Name:
Authorized Official - Last Name:BATOOL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:916-299-9896
Mailing Address - Street 1:6385 AUBURN BLVD STE D
Mailing Address - Street 2:
Mailing Address - City:CITRUS HEIGHTS
Mailing Address - State:CA
Mailing Address - Zip Code:95621-5274
Mailing Address - Country:US
Mailing Address - Phone:916-299-9896
Mailing Address - Fax:916-299-9941
Practice Address - Street 1:6385 AUBURN BLVD STE D
Practice Address - Street 2:
Practice Address - City:CITRUS HEIGHTS
Practice Address - State:CA
Practice Address - Zip Code:95621-5274
Practice Address - Country:US
Practice Address - Phone:916-299-9896
Practice Address - Fax:916-299-9941
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-10
Last Update Date:2020-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies