Fairfax Medical Laboratories, Inc.
LBN: Fairfax Medical Laboratories, Inc.
Fairfax Medical Laboratories, Inc. is an health care organization with primary practice located at 4200 Pleasant Valley Rd , Chantilly VA 20151-1211. The organization recently has only one registered license in Laboratories / Clinical Medical Laboratory, which is considered as the primary health care specialty.
Fairfax Medical Laboratories, Inc. can be contacted via phone (703) 222-2313, or through Fredericks, Robert via phone (703) 222-2313.
Contact Information
Primary practice address
4200 Pleasant Valley Rd
Chantilly VA 20151-1211
Phone: (703) 222-2313
Fax: (703) 263-2582
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Laboratories / Clinical Medical Laboratory | 291U00000X | 49D0221827 | Virginia |
Profile Details
| NPI number | 1104852573 |
|---|---|
| LBN Legal business name | Fairfax Medical Laboratories, Inc. |
| DBA Doing business as | |
| Authorized official | Fredericks, Robert |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jun 25th, 2006 |
| Last updated | Jan 10th, 2013 - about 13 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1104852573 | NPPES |
| Virginia | MEDICAID | 004980760 | |
| Virginia | MEDICAID | 31230500 | |
| Virginia | MEDICAID | 0062430 | |
| Virginia | MEDICAID | 38779000 | |
| Virginia | MEDICAID | 431418200 | |
| Virginia | Other | 690001517 |
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