NPIMap

Organization Active NPI

Fast Lab Technologies LLC

  • Clinical Medical Laboratory
  • Brooklyn, NY
National Provider Identifier
1154089241
Registry record updated Nov 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
FAST LAB TECHNOLOGIES LLC
Practice address
215 Water St
Brooklyn, NY 11201-1131
Phone
(917) 503-9404
Fax
(212) 504-3231
NPI assigned
Dec 6, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Cemhan Biricik
Title
Ceo
Phone
(917) 503-9404

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

215 Water St
Brooklyn, NY 11201-1131

Mailing address

1178 Broadway Ste 329
New York, NY 10001-5404

Other names 1

  • Fast Lab Tech Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220207000173 NY Part B Supplier - Independent Clinical Laboratory 8921491457 Practice locations: Brooklyn, NY

National Provider Directory

National Provider Directory

Locations

215 Water St
Brooklyn, NY 11201
Phone (917) 503-9404

1178 Broadway
Ste 329
New York, NY 10001

Practitioners & affiliated clinicians

Practitioners 24

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 24

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1638748800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1732492800000",
    "number": "1154089241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1178 BROADWAY STE 329",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100015404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "215 WATER ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112011131",
            "telephone_number": "917-503-9404",
            "fax_number": "212-504-3231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAST LAB TECHNOLOGIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-12-06",
        "last_updated": "2024-11-25",
        "certification_date": "2024-11-25",
        "status": "A",
        "authorized_official_last_name": "BIRICIK",
        "authorized_official_first_name": "CEMHAN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "917-503-9404",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fast Lab Tech",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Fast Lab Tech",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Brooklyn, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.