Fairfax Medical Laboratories, Inc. in Chantilly - Clinical Medical Laboratory
Fairfax Medical Laboratories, Inc. - NPI 1104852573
Fairfax Medical Laboratories, Inc. is a Clinical Medical Laboratory in Chantilly, Virginia. Fairfax Medical Laboratories, Inc. practices all healthcare services and medical treatments related to Clinical Medical Laboratory. The NPI Number for Fairfax Medical Laboratories, Inc. is 1104852573. The last update date is 2013-01-10.
Fairfax Medical Laboratories, Inc.'s current location address is 4200 Pleasant Valley Rd, Chantilly, Virginia. You can contact this provider via phone number 7032222313 and fax number 7032632582. The mailing address for Fairfax Medical Laboratories, Inc. is 4200 Pleasant Valley Rd, Chantilly, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Fairfax Medical Laboratories, Inc. |
|---|---|
| Address | 4200 Pleasant Valley Rd, Chantilly, Virginia |
| Phone Number | 7032222313 |
| Fax Number | 7032632582 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | VICE PRESI |
|---|---|
| Authorized Official Name | Fredericks Robert |
| Telephone Number | 7032222313 |
NPI Number Detail
| NPI Number | 1104852573 |
|---|---|
| Provider Enumeration Date | 2006-06-25 |
| Last Updated Date | 2013-01-10 |
Provider Mailing Address Detail
| Address | 4200 Pleasant Valley Rd |
|---|---|
| City | Chantilly |
| State | Virginia (VA) |
| Post Code | 201511211 |
| Phone Number | 7032222313 |
| Fax Number | 7032632582 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical Medical Laboratory |
|---|---|
| Taxonomy | 291U00000X |
| Licence No | 49D0221827 |
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Definition: (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 purp |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 4980760 | VA | -- | |
| 31230500 | DC | -- | |
| 62430 | VA | -- | |
| 38779000 | WV | -- | |
| 431418200 | MD | -- | |
| 690001517 | RAILROAD MEDICARE |
Post Comment/ Review Below
What is the unique identifier code issued to Fairfax Medical Laboratories, Inc. by the Centers for Medicare & Medicaid Services?
The Fairfax Medical Laboratories, Inc. has been assigned the NPI (National Provider Identifier) 1104852573. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Fairfax Medical Laboratories, Inc.'s facilities are situated?
The facilities of Fairfax Medical Laboratories, Inc. are physically located at the following address: 4200 Pleasant Valley Rd, Chantilly, VA, 201511211.
What is Fairfax Medical Laboratories, Inc.'s area of expertise and its corresponding taxonomy classification?
The Fairfax Medical Laboratories, Inc.'s field of specialization is Clinical Medical Laboratory, and it falls under the taxonomy code 291U00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services assign the 1104852573 to Fairfax Medical Laboratories, Inc.?
The Centers for Medicare & Medicaid Services assigned the 1104852573 to Fairfax Medical Laboratories, Inc. on 2006-06-25.
As of what date was the information pertaining to Fairfax Medical Laboratories, Inc., such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Fairfax Medical Laboratories, Inc., including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2013-01-10.