Mira Genetix

LBN: Mira Genetix
Mira Genetix is an health care organization with primary practice located at 12011 Lee Jackson Memorial Highway Suite 200, Fairfax VA 22033. The organization recently has only one registered license in Laboratories / Clinical Medical Laboratory, which is considered as the primary health care specialty. Mira Genetix can be contacted via phone (866) 324-9804, or through Snow, Paulina A via phone (866) 324-9804.

Contact Information

Primary practice address
12011 Lee Jackson Memorial Highway Suite 200 Fairfax VA 22033
Phone: (866) 324-9804
Fax: (866) 324-3280
Website:
Map and Directions
Authorized official contact:
Name: Snow, Paulina A
Phone: (866) 324-9804

Health care specialties

SpecialtyCodeLicense #State
Laboratories / Clinical Medical Laboratory 291U00000X

Profile Details

NPI number 1912787144
LBN Legal business name Mira Genetix
DBA Doing business as
Authorized official Snow, Paulina A
Entity Organization
Organization subpart 1 No
Enumeration date Oct 4th, 2023
Last updated Oct 4th, 2023 - about 3 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.

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