NPI 1104852573

Fairfax Medical Laboratories, INC.

Organisation Clinical Medical Laboratory Chantilly, VA

Practice location

Address: 4200 Pleasant Valley Rd, Chantilly, VA 20151-1211
Phone: (703) 222-2313
Fax: (703) 263-2582

Authorised official

Name: Robert Fredericks
Title: Vice President
Phone: (703) 222-2313

Registered specialties

Clinical Medical Laboratory Primary

Laboratories Taxonomy 291U00000X Licence 49D0221827 (VA)

Other Clinical Medical Laboratory providers in Virginia →

Registry record

NPI: 1104852573
Entity type: Organization
NPI issued: 25 Jun 2006
Record last updated: 10 Jan 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.