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Fast Pace Medical Clinic PLLC

Organization Active NPI Urgent Care Clinic/Center · Loudon, TN

NPI 1497597157 · NPPES record last updated Jun 12, 2024

Key facts

NPI
1497597157
Entity type
Organization (NPI type 2)
Primary specialty
Urgent Care Clinic/Center 261QU0200X
Legal business name
FAST PACE MEDICAL CLINIC PLLC
Practice address
2933 Highway 72 N
Loudon, TN 37774-5725
Phone
(865) 346-7382
NPI assigned
Jun 12, 2024
Organization subpart
No

Authorized official

Name
Melissa Harlan
Title
Director
Phone
(615) 948-9639

Corporate family (same tax ID) 24

Organizations that report the same tax identification number in the National Provider Directory.

Laboratory certificates & supplier records

Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
44D2181539Fast Pace Medical Clinic PLLC
2933 Highway 72 North, Loudon, TN 37774		Certificate of waiverApr 6, 2028

National Provider Directory

Tax ID family
Fast Pace Medical Clinic PLLC (133 organizations share this tax ID)

Specialties & licenses

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

Addresses

Primary practice location

2933 Highway 72 N
Loudon, TN 37774-5725

Mailing address

6550 Carothers Pkwy Ste 225
Franklin, TN 37067-6662
Phone (615) 364-1773

Other providers in Loudon, TN

All providers in Loudon, TN · Urgent Care Clinic/Center in Tennessee

Sources for this page

Verify at the official NPI Registry.