Healthcare Provider Details

I. General information

NPI: 1528738846
Provider Name (Legal Business Name): FAST TRACK TESTING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/17/2021
Last Update Date: 04/06/2026
Certification Date: 04/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5960 HOWDERSHELL RD STE 104
HAZELWOOD MO
63042-4102
US

IV. Provider business mailing address

1834 CHARLESTON ESTATES DR
FLORISSANT MO
63031-1058
US

V. Phone/Fax

Practice location:
  • Phone: 636-800-2496
  • Fax: 636-800-2495
Mailing address:
  • Phone: 131-447-7246
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WC1600X
TaxonomyContinuing Education/Staff Development Registered Nurse
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code305S00000X
TaxonomyPoint of Service
License Number
License Number State

VIII. Authorized Official

Name: JAMIKA NICHOL KEMPER
Title or Position: ADMIN
Credential: RN
Phone: 131-447-7246