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MAIN STREET OBGYN
NPI 1215439526
Obstetrics & Gynecology in Fairfax, VA

Active since March 02, 2018CLIA 49D2317816 · Waiver
10875 MAIN ST STE 210, FAIRFAX, VA 22030(703) 665-8248(703) 665-8248 Get Directions Write a Review

NPPES record last updated: January 20, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jan 20, 2023, Mar 2, 2018 (2 updates tracked since 2018).

About Main Street Obgyn NPPES

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

MAIN STREET OBGYN (NPI 1215439526) is a healthcare organization registered as an obstetrics & gynecology in Fairfax, Virginia and active in the NPI registry since March 2018. The organization holds a CLIA Waiver certificate valid through January 30, 2027 and lists Mitra Zameni, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1215439526
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameWOMEN'S CHOICE OBGYN LLC
Location Address10875 MAIN ST STE 210Fairfax, VA 22030-4732
Mailing Address4019 Verret DrFairfax, VA 22030-6095 · (703) 218-2403
Phone(703) 665-8248
Fax(703) 665-8248
Organization SubpartNo
Authorized OfficialMitra ZameniManaging Member · (703) 218-2403
Enumeration DateMarch 2, 2018
Last NPPES UpdateJanuary 20, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 20, 2023
✔ NPI 1215439526 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
License✔ Licensed in VA · 0101261606
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
10875 MAIN ST STE 210, Fairfax, VA 22030
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Other Names 1

Doing Business AsMain Street Obgyn

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 49D2317816

Women's Choice Obgyn LLC · Fairfax, VA
Active · expires Jan 30, 2027
CLIA Number49D2317816
Laboratory TypePhysician Office
Certificate Effective DateJanuary 31, 2025
Certificate Expiration DateJanuary 30, 2027
Laboratory DirectorMitra Zameni
Laboratory Phone(703) 665-8248
Laboratory LocationWomen's Choice Obgyn LLC10875 Main Street, Suite 210, Fairfax, VA 22030
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 Women's Choice Obgyn LLC's NPI number?

The NPI number for Women's Choice Obgyn LLC is 1215439526. It was assigned to this organization in the NPPES registry on March 2, 2018. The provider is doing business as Main Street Obgyn.

Where is Women's Choice Obgyn LLC located?

Women's Choice Obgyn LLC is located at 10875 Main St Ste 210, Fairfax, VA 22030. The listed phone number is (703) 665-8248.

What is Women's Choice Obgyn LLC's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

Does Women's Choice Obgyn LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D2317816) is associated with this NPI, valid through January 30, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Women's Choice Obgyn LLC was last updated on January 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.