Vascular Laboratory of Fairfax, LLC

NPI #1174614978 in Fairfax, Virginia

Provider Information

NPI Number: 1174614978
Entity Type: Organization
Organization Name: Vascular Laboratory of Fairfax, LLC
Primary Specialty: Specialist
Enumeration Date: Sep 27, 2006
Last Updated: Sep 8, 2010

Practice Location

Address: 3020 HAMAKER CT
Address 2: SUITE 402
City: Fairfax
State: Virginia
ZIP Code: 22031-2238
Phone: (703) 573-2400

Authorized Official

Name: JAMES P SIMSARIAN, M.D.
Title: MEDICAL DIRECTOR
Phone: (703) 573-2400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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