Organization
IFAST, LLC
Active
Other names
IFAST Lab Pros
Organization subpart
No
Provider details
NPI number
Authorized official
K A (CPC/LAB COMPLIANCE SPECIALIST)
(833) 423-4033
Entity
Organization
Contact information
Practice address
5215 N IRONWOOD RD SUITE 202 PMB 1045, GLENDALE, WI 53217-4908
(833) 423-4033
(833) 423-4033
Mailing address
5215 N IRONWOOD RD SUITE 202 PMB 1045, GLENDALE, WI 53217-4908
(833) 423-4033
(833) 423-4033
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
02/21/2024
Last updated
05/01/2024
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