FAIRFAX MEDICAL LAB LLC


Address: 4221 Walney Rd Ste 401a, Chantilly, VA 20151-2987
Phone: 5715775556

FAIRFAX MEDICAL LAB LLC (NPI# 1205445491) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1205445491
Entity Type Organization
Organization Name FAIRFAX MEDICAL LAB LLC
Practice Address 4221 Walney Rd Ste 401a
Chantilly
VA 20151-2987
Practice Telephone 5715775556
Mailing Telephone 5715775556
Enumeration Date 2020-07-24
Last Update Date 2020-09-09
Authorized Official Name ASRA RAHMAN (OWNER)
Authorized Official Telephone 5715775556
Authorized Official Credential CEO
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 291U00000X Clinical Medical Laboratory Laboratories

Office Location

Street Address 4221 WALNEY RD STE 401A
City CHANTILLY
State VA
Zip Code 20151-2987

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Taxonomy Information

Taxonomy Code 291U00000X
Grouping Laboratories
Classification Clinical Medical Laboratory

Taxonomy 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 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.
Notes: Source: (1) Code of Federal Regulations #42, Public Health, Section 493.2. (2) ) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 186.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
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1780128744 Jie Xu Clinical Medical Laboratory 13729 Autumn Vale Ct, Chantilly, VA 20151-3544 2016-12-10
1104852573 Fairfax Medical Laboratories, Inc. Clinical Medical Laboratory 4200 Pleasant Valley Rd, Chantilly, VA 20151-1211 2006-06-25
1316442668 Institute for Dermatopathology, Inc. Clinical Medical Laboratory 14225 Newbrook Drive, 1st Floor, Suite A, Chantilly, VA 20151 2018-03-28
1265774095 Quest Diagnostics Clinical Medical Laboratory 14225 Newbrook Dr, Department of Anatomic Pathology, Chantilly, VA 20151-2228 2013-03-19
1376853341 Chantilly Specialists, Ltd. of Virginia Clinical Medical Laboratory 14121 Parke Long Ct, Suite 112, Chantilly, VA 20151-1647 2010-10-08
1841351566 Jeffrey Samuel Dlott Clinical Medical Laboratory 14225 Newbrook Dr, Chantilly, VA 20151-2228 2006-12-13
1447296272 Quest Diagnostics Nichols Institute, Inc. Clinical Medical Laboratory 14225 Newbrook Dr, Chantilly, VA 20151-2228 2006-06-21

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1366040917 Ikare Renal Solutions LLC Clinical Medical Laboratory 8534 Ashington Way, Williamsburg, VA 23188-6647 2020-10-15
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1437756525 Laboratory Corporation of America Holdings Clinical Medical Laboratory 109 Bridge St Ste 101, Danville, VA 24541-1222 2020-10-02
1750923520 Metropolitan Laboratory Services Inc Clinical Medical Laboratory 12011 Lee Jackson Memorial Hwy Ste 200, Fairfax, VA 22033-3310 2019-10-14
1346881067 Zenith Diagnostics, Inc. Clinical Medical Laboratory 13042 Rivers Bend Road, Chester, VA 23836-2383 2019-10-03
1952962482 Accurate Medical Lab Inc Clinical Medical Laboratory 3927 Old Lee Hwy Ste 102d, Fairfax, VA 22030-2422 2019-06-25
1447711163 Solstas Lab Partners Group LLC Clinical Medical Laboratory 204 E Washington St Ste C, Lexington, VA 24450-2718 2019-03-26
1851851893 Solstas Lab Partners Group LLC Clinical Medical Laboratory 3239 Electric Rd Ste A, Roanoke, VA 24018-6444 2019-03-25
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City CHANTILLY
Zip Code 20151

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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