FAIRFAX MEDICAL LAB LLC
NPI 1205445491
Clinical Medical Laboratory in Chantilly, VA

Active since July 24, 2020
4221 WALNEY RD STE 401A, CHANTILLY, VA 20151(571) 577-5556 Get Directions Write a Review

NPPES record last updated: September 9, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 9, 2020, Jul 24, 2020 (2 updates tracked since 2020).

About Fairfax Medical Lab Llc NPPES

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

FAIRFAX MEDICAL LAB LLC (NPI 1205445491) is a healthcare organization registered as a clinical medical laboratory in Chantilly, Virginia and active in the NPI registry since July 2020. The organization lists Asra Rahman, Owner, as its authorized official.

NPPES Registry Identity

NPI1205445491
Entity TypeOrganization
Primary Taxonomy291U00000X
Legal Business NameFAIRFAX MEDICAL LAB LLC
Location Address4221 WALNEY RD STE 401AChantilly, VA 20151-2987
Mailing Address4221 Walney Rd Ste 401aChantilly, VA 20151-2987 · (571) 577-5556
Organization SubpartNo
Authorized OfficialAsra RahmanOwner · (571) 577-5556
Enumeration DateJuly 24, 2020
Last NPPES UpdateSeptember 9, 20202 updates tracked since enumeration
NPPES CertifiedJuly 29, 2020
NPI 1205445491 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinical Medical LaboratoryLaboratories
Taxonomy Code291U00000X
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.
4221 WALNEY RD STE 401A, Chantilly, VA 20151

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 Lab LLC's NPI number?

The NPI number for Fairfax Medical Lab LLC is 1205445491. It was assigned to this organization in the NPPES registry on July 24, 2020.

Where is Fairfax Medical Lab LLC located?

Fairfax Medical Lab LLC is located at 4221 Walney Rd Ste 401A, Chantilly, VA 20151. The listed phone number is (571) 577-5556.

What is Fairfax Medical Lab LLC'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 Lab LLC was last updated on September 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.