Fairfax Medical Lab LLC

NPI #1205445491 in Chantilly, Virginia

Provider Information

NPI Number
1205445491
Entity Type
Organization
Organization Name
Fairfax Medical Lab LLC
Primary Specialty
Clinical Medical Laboratory
Enumeration Date
Jul 24, 2020
Last Updated
Sep 9, 2020

Practice Location

Address
4221 WALNEY RD STE 401A
ZIP Code
20151-2987
Phone
(571) 577-5556

Authorized Official

Name
ASRA RAHMAN, CEO
Title
OWNER
Phone
(571) 577-5556

Specialties & Taxonomy Codes

Specialty
Clinical Medical Laboratory

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