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BRANDON AVENUE PEDIATRICS
NPI 1215334941
Specialist in Springfield, VA

Active since November 24, 2014CLIA 49D2178539 · Waiver
6126 BRANDON AVE, SPRINGFIELD, VA 22150(571) 830-6337 Get Directions Write a Review

NPPES record last updated: November 24, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Brandon Avenue Pediatrics NPPES

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

BRANDON AVENUE PEDIATRICS (NPI 1215334941) is a healthcare organization registered as a specialist in Springfield, Virginia and active in the NPI registry since November 2014. The organization holds a CLIA Waiver certificate valid through February 4, 2028 and lists Saad O. Al-hariri, President, as its authorized official.

NPPES Registry Identity

NPI1215334941
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameBRANDON AVENUE PEDIATRICS
Location Address6126 BRANDON AVESpringfield, VA 22150-2610
Mailing Address6126 Brandon AveSpringfield, VA 22150 · (571) 830-6337
Phone(571) 830-6337
Organization SubpartNo
Authorized OfficialSaad O. Al-haririPresident · (571) 830-6337
Enumeration DateNovember 24, 2014
✔ NPI 1215334941 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in VA · 0101051396
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
6126 BRANDON AVE, Springfield, VA 22150
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 49D2178539

Brandon Avenue Pediatrics · Springfield, VA
Active · expires Feb 4, 2028
CLIA Number49D2178539
Laboratory TypePhysician Office
Certificate Effective DateFebruary 5, 2026
Certificate Expiration DateFebruary 4, 2028
Laboratory DirectorSaad Alhariri
Laboratory Phone(571) 830-6337
Laboratory LocationBrandon Avenue Pediatrics6126 Brandon Ave, Springfield, VA 22150
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Brandon Avenue Pediatrics's NPI number?

The NPI number for Brandon Avenue Pediatrics is 1215334941. It was assigned to this organization in the NPPES registry on November 24, 2014.

Where is Brandon Avenue Pediatrics located?

Brandon Avenue Pediatrics is located at 6126 Brandon Ave, Springfield, VA 22150. The listed phone number is (571) 830-6337.

What is Brandon Avenue Pediatrics's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

Does Brandon Avenue Pediatrics hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D2178539) is associated with this NPI, valid through February 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Brandon Avenue Pediatrics was last updated on November 24, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.