# FAST TRACK MEDICAL LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568770626
- **Authorized official:** CHRISTOPHER LONG (PRESIDENT)
- **Authorized official phone:** (314) 921-7300

## Contact information

- **Practice address:** 5701 CHIPPEWA ST, SAINT LOUIS, MO 63109-1544
- **Practice address phone:** (314) 921-7300
- **Mailing address:** 2686 N HIGHWAY 67, FLORISSANT, MO 63033-1438
- **Mailing address phone:** (314) 921-7300
- **Mailing address fax:** (314) 395-2123

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2300X | Primary Care Clinic/Center | — | NULL | — |
| 261QU0200X | Urgent Care Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/22/2010
- **Last updated:** 04/11/2024