Provider Demographics
NPI:1346041803
Name:FAST TRUCK LOGISTICS LLC
Entity type:Organization
Organization Name:FAST TRUCK LOGISTICS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:NABILA
Authorized Official - Middle Name:
Authorized Official - Last Name:SHAFAQAT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:929-208-6757
Mailing Address - Street 1:13 FULTON DR
Mailing Address - Street 2:
Mailing Address - City:STAFFORD
Mailing Address - State:VA
Mailing Address - Zip Code:22554-7827
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:13 FULTON DR
Practice Address - Street 2:
Practice Address - City:STAFFORD
Practice Address - State:VA
Practice Address - Zip Code:22554-7827
Practice Address - Country:US
Practice Address - Phone:929-208-6757
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-21
Last Update Date:2025-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies