FAIRFAX MEDICAL LABORATORIES, INC.
NPI 1104852573
Clinical Medical Laboratory in Chantilly, VA

Active since June 25, 2006
4200 PLEASANT VALLEY RD, CHANTILLY, VA 20151(703) 222-2313(703) 263-2582 Get Directions Write a Review

NPPES record last updated: January 10, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Fairfax Medical Laboratories, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FAIRFAX MEDICAL LABORATORIES, INC. (NPI 1104852573) is a healthcare organization registered as a clinical medical laboratory in Chantilly, Virginia and active in the NPI registry since June 2006. The organization lists Robert Fredericks, Vice President, as its authorized official.

NPPES Registry Identity

NPI1104852573
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NameFAIRFAX MEDICAL LABORATORIES, INC.
Location Address4200 PLEASANT VALLEY RDChantilly, VA 20151-1211
Mailing Address4200 Pleasant Valley RdChantilly, VA 20151-1211 · (703) 222-2313 · Fax (703) 263-2582
Fax(703) 263-2582
Organization SubpartNo
Authorized OfficialRobert FredericksVice President · (703) 222-2313
Enumeration DateJune 25, 2006
Last NPPES UpdateJanuary 10, 2013
NPI 1104852573 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinical Medical LaboratoryLaboratories
Taxonomy Code291U00000X
License Licensed in VA · 49D0221827
Definition
(1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to determine, measure, or otherwise describe the presence or absence of various substances or organisms in the body. Facilities only collecting or preparing specimens (or both) or only serving as a mailing service and not performing testing are not considered clinical laboratories. (2) Any facility that examines materials from the human body for purposes of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, or the assessment of, the health of human beings. Typical divisions of a clinical laboratory include hematology, cytology, bacteriology, histology, biochemistry, medical toxicology, and serology.
4200 PLEASANT VALLEY RD, Chantilly, VA 20151

Other Identifiers 7

Medicaid431418200MD
Medicaid0062430VA
Other690001517Railroad Medicare
Medicaid38779000WV
Medicaid31230500DC
Medicare ID-Type Unspecified301228
Medicaid004980760VA

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fairfax Medical Laboratories, Inc.'s NPI number?

The NPI number for Fairfax Medical Laboratories, Inc. is 1104852573. It was assigned to this organization in the NPPES registry on June 25, 2006.

Where is Fairfax Medical Laboratories, Inc. located?

Fairfax Medical Laboratories, Inc. is located at 4200 Pleasant Valley Rd, Chantilly, VA 20151. The listed phone number is (703) 222-2313.

What is Fairfax Medical Laboratories, Inc.'s specialty?

The primary specialty registered for this NPI is Clinical Medical Laboratory with taxonomy code 291U00000X.

When was this NPI record last updated?

The NPPES record for Fairfax Medical Laboratories, Inc. was last updated on January 10, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.