MEDICARE: FASIKL MEDICAL SOLUTIONS LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	332B00000X	Durable Medical Equipment & Medical Supplies

General Provider Information

NPI Number	:	1275331696
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	FASIKL MEDICAL SOLUTIONS LLC

Provider Business Mailing Address
First Line	:	8500 NORMANDALE LAKE BLVD STE 400B
Second Line	:
City	:	BLOOMINGTON
State	:	MN
Zip	:	55437-3852
Country	:	US
Telephone Number	:	612-286-1099
Fax Number	:	800-673-3999

Provider Business Practice Location Address
First Line	:	8500 NORMANDALE LAKE BLVD STE 400B
Second Line	:
City	:	BLOOMINGTON
State	:	MN
Zip	:	55437-3852
Country	:	US
Telephone Number	:	612-286-1099
Fax Number	:	800-673-3999

Authorized Official
Title or Position	:	CEO
Name	:	ZHI YANG
Credential	:
Telephone Number	:	612-286-1099

Provider Enumeration Date	:	03/03/2025
Last Update Date	:	10/01/2025

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