NPIMap

Organization Active NPI

Fastrad LLC

  • Physiological Laboratory
  • Brooklyn, NY
National Provider Identifier
1831424845
Registry record updated Oct 8, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physiological LaboratoryTaxonomy code 293D00000X
License
A300000608 Issued in NY
Legal business name
FASTRAD LLC
Practice address
101 N 3Rd St
Brooklyn, NY 11211-3943
Phone
(718) 594-1001
Fax
(718) 594-1006
NPI assigned
Oct 8, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2009

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

Authorized official

Name
Dan Berg
Title
Coo
Phone
(732) 905-1008

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physiological Laboratory 293D00000X A300000608 NY Primary

Addresses

Primary practice location

101 N 3Rd St
Brooklyn, NY 11211-3943

Mailing address

101 N 3Rd St
Brooklyn, NY 11211-3943
Phone (718) 594-1001

National Provider Directory

National Provider Directory
Tax ID family
Fastrad LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

NPI Registry JSON

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

{
    "created_epoch": "1254960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1254960000000",
    "number": "1831424845",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 N 3RD ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112113943",
            "telephone_number": "718-594-1001",
            "fax_number": "718-594-1006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 N 3RD ST",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112113943",
            "telephone_number": "718-594-1001",
            "fax_number": "718-594-1006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FASTRAD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-10-08",
        "last_updated": "2009-10-08",
        "status": "A",
        "authorized_official_last_name": "BERG",
        "authorized_official_first_name": "DAN",
        "authorized_official_title_or_position": "COO",
        "authorized_official_telephone_number": "732-905-1008"
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": "NY",
            "license": "A300000608",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Oct 8, 2009; 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.