Provider Demographics
NPI:1720686793
Name:FASTLANE TRANSPORTATION LLC
Entity Type:Organization
Organization Name:FASTLANE TRANSPORTATION LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:FREDERICK
Authorized Official - Middle Name:SAKYI
Authorized Official - Last Name:KUMI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-370-9289
Mailing Address - Street 1:2586 TILLER LN STE 2D
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43231-2265
Mailing Address - Country:US
Mailing Address - Phone:614-423-7430
Mailing Address - Fax:614-423-7137
Practice Address - Street 1:2586 TILLER LN STE 2D
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43231-2265
Practice Address - Country:US
Practice Address - Phone:614-423-7430
Practice Address - Fax:614-423-7137
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-10-13
Last Update Date:2020-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)