NPIMap

Organization Active NPI

Fast Lane of Zachary LLC

  • Urgent Care Clinic/Center
  • Zachary, LA
National Provider Identifier
1194041871
Registry record updated Jul 13, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
FAST LANE OF ZACHARY LLC
Practice address
19900 Old Scenic Hwy
Ste H/I
Zachary, LA 70791-7367
Phone
(225) 570-2618
Fax
(225) 570-8539
NPI assigned
Apr 20, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2010

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

Authorized official

Name
Leone Elliott, MD
Title
Physician/Partner
Phone
(225) 570-2618

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X Primary

Addresses

Primary practice location

19900 Old Scenic Hwy
Ste H/I
Zachary, LA 70791-7367

Mailing address

PO Box 427
Ste H/I
Zachary, LA 70791-0427
Phone (225) 570-2618

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1271721600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278979200000",
    "number": "1194041871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 427",
            "address_2": "STE H/I",
            "city": "ZACHARY",
            "state": "LA",
            "postal_code": "707910427",
            "telephone_number": "225-570-2618",
            "fax_number": "225-570-8539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19900 OLD SCENIC HWY",
            "address_2": "STE H/I",
            "city": "ZACHARY",
            "state": "LA",
            "postal_code": "707917367",
            "telephone_number": "225-570-2618",
            "fax_number": "225-570-8539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAST LANE OF ZACHARY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-20",
        "last_updated": "2010-07-13",
        "status": "A",
        "authorized_official_last_name": "ELLIOTT",
        "authorized_official_first_name": "LEONE",
        "authorized_official_title_or_position": "PHYSICIAN/PARTNER",
        "authorized_official_telephone_number": "225-570-2618",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Zachary, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.