Organization
MY FAST LAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERYK BILSKI (OWNER)
(219) 213-2636
Entity
Organization
Contact information
Practice address
1178 E SUMMIT ST, CROWN POINT, IN 46307-2729
(219) 213-2636
Mailing address
1178 E SUMMIT ST, CROWN POINT, IN 46307-2729
(219) 213-2636
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
IN
Other
Enumeration date
02/04/2014
Last updated
02/04/2014
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