Fast Lab Corp

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

FAST LAB CORP

Practice address

8633 Major Ave
Morton Grove, IL 60053-3132

Phone

(847) 873-4244

NPI assigned

Aug 12, 2021

Organization subpart

No

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

Authorized official

Name

Yaser J Mohammed

Title

Managing Director

Phone

(847) 873-4244

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1628726400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1628726400000",
    "number": "1740955640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8633 MAJOR AVE",
            "city": "MORTON GROVE",
            "state": "IL",
            "postal_code": "600533132",
            "telephone_number": "847-873-4244"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8633 MAJOR AVE",
            "city": "MORTON GROVE",
            "state": "IL",
            "postal_code": "600533132",
            "telephone_number": "847-873-4244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAST LAB CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-08-12",
        "last_updated": "2021-08-12",
        "certification_date": "2021-08-12",
        "status": "A",
        "authorized_official_last_name": "MOHAMMED",
        "authorized_official_first_name": "YASER",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MANAGING DIRECTOR",
        "authorized_official_telephone_number": "847-873-4244"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ez Healthcare PLLC
• Delia Famanas, RN
• Samiebert Famanas, RN
• Faminamed Healthcare Providers SC
• Farheen Farooq
• Emily M. Fechner, PA-C
• Nicholas Fendt
• Kerry Fiala, OT
• Stephanie Fitch, PTA
• Angela Flatsoussis, RD, LDN

• Clinical Medical Laboratory in Morton Grove, IL
• Providers in Morton Grove, IL by specialty
• Clinical Medical Laboratory in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2021; 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.