NPI 1205445491

Fairfax Medical Lab LLC

Organisation Clinical Medical Laboratory Chantilly, VA

Practice location

Address: 4221 Walney Rd STE 401a, Chantilly, VA 20151-2987
Phone: (571) 577-5556

Authorised official

Name: Asra Rahman
Title: Owner
Phone: (571) 577-5556

Registered specialties

Clinical Medical Laboratory Primary

Laboratories Taxonomy 291U00000X

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Registry record

NPI: 1205445491
Entity type: Organization
NPI issued: 24 Jul 2020
Record last updated: 9 Sep 2020

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.