Organization
FASTRAD LLC
Active
Other names
FastRad LLC
Organization subpart
No
Provider details
NPI number
Authorized official
JORDAN WEXLER (MEMBER)
(718) 594-1001
Entity
Organization
Contact information
Practice address
101 NORTH 3RD STREET, BROOKLYN, NY 11211
(718) 594-1001
(718) 594-1006
Mailing address
101 NORTH 3RD STREET, BROOKLYN, NY 11211
(718) 594-1001
(718) 594-1001
Taxonomy
Speciality
Code
Description
License number
State
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0173371
—
NJ
05
—
02830528
—
NY
Enumeration date
05/05/2006
Last updated
12/26/2008
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