FAIRWAY MANAGEMENT LLC NPI 1033528948

NPI Information

  • NPI: 1033528948
  • Provider Name: FAIRWAY MANAGEMENT, LLC
  • Classification: Clinical Medical Laboratory - 291U00000X
  • Entity Type: Organization
  • Doing Business As: INDEED WELLNESS
  • Address: 240 W SENECA ST
    SUITE 8
    MANLIUS, NY
    ZIP 13104
  • Phone: (315) 682-0328

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NPI Details

FAIRWAY MANAGEMENT, LLC is a clinical medical laboratory in Manlius, NY. The provider is (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology. FAIRWAY MANAGEMENT, LLC NPI is 1033528948. The provider is registered as an organization entity type.
The provider Is Doing Business As Indeed Wellness.

The provider's business location address is:

240 W SENECA ST
SUITE 8
MANLIUS, NY
ZIP 13104-401
Phone: (315) 682-0328
Fax: (315) 682-0295

The provider's authorized official is Robert Eugene Bailey .
The authorized official title is Medical Director and has the following contact phone number (315) 682-0325.

The enumeration date for this NPI number is 8/5/2014 and was last updated on 8/5/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1291U00000XClinical Medical Laboratory33D2071872NEW YORKYes

What is NPI?

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This page was last updated on: 3/30/2025

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