Provider Demographics
NPI:1386517969
Name:LA FAST INC
Entity type:Organization
Organization Name:LA FAST INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NIZAM
Authorized Official - Middle Name:
Authorized Official - Last Name:UDDIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:213-947-9316
Mailing Address - Street 1:3255 CAHUENGA BLVD W STE 301
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90068-1778
Mailing Address - Country:US
Mailing Address - Phone:213-947-9316
Mailing Address - Fax:
Practice Address - Street 1:3255 CAHUENGA BLVD W STE 301
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90068-1778
Practice Address - Country:US
Practice Address - Phone:213-947-9316
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-09-29
Last Update Date:2025-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes291U00000XLaboratoriesClinical Medical Laboratory
No292200000XLaboratoriesDental Laboratory