Fairfax Medical Laboratories, Inc.

NPI 1104852573 - Clinical Medical Laboratory - 291U00000X

NPI Details
NPI 1104852573
Enumeration Date 06/25/2006
Last Updated 01/10/2013
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name ROBERT ROBERT
Position VICE PRESIDENT
Phone (703) 222-2313
Fax (703) 263-2582
Practice Location
4200 PLEASANT VALLEY RD
CHANTILLY VA, 20151-1211, US
Phone (703) 222-2313
Fax (703) 263-2582
Business Location
4200 PLEASANT VALLEY RD
CHANTILLY VA, 20151-1211, US
Phone (703) 222-2313
Fax (703) 263-2582
Toxanomy
Taxonomy Code 291U00000X
License State Virginia
License Number 49D0221827
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According to our database, Fairfax Medical Laboratories, Inc. NPI is 1104852573, taxonomy code is 291U00000X and license number is 49D0221827, license state is located at Virginia. Fairfax Medical Laboratories, Inc. physically located at 4200 Pleasant Valley Rd, Chantilly VA, 20151-1211. NPI Number 1033115704 has the healthcare provider type.

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1104852573 NPI number is provided on an as is basis without warranty of any kind. 1104852573 is maintained by the National Plan & Provider Enumeration System. The contents of Fairfax Medical Laboratories, Inc. are for informational purposes only.