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IFAST LLC NPI 1811753536


NPI Information

NPI: 1811753536
Provider Name: IFAST, LLC
Classification: Clinical Medical Laboratory - 291U00000X
Entity Type: Organization

CLIA Number: 52D2296781

Address:
5215 N IRONWOOD RD SUITE 202 PMB 1045
GLENDALE, WI
ZIP 53217
Phone: (833) 423-4033
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IFAST, LLC is a clinical medical laboratory in Glendale, WI. The provider is (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. IFAST, LLC NPI is 1811753536. The provider is registered as an organization entity type.

The provider's business location address is:

5215 N IRONWOOD RD SUITE 202 PMB 1045
GLENDALE, WI
ZIP 53217-908
Phone: (833) 423-4033
Fax: (833) 423-4033

The provider's authorized official is K D A .
The authorized official title is Cpc/lab Compliance Specialist and has the following contact phone number (833) 423-4033.

The CLIA number assigned to this NPI record is 52D2296781 - mobile laboratory with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/21/2024 and was last updated on 2/22/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1291U00000XClinical Medical LaboratoryYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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