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INOVA OAKVILLE AMBULATORY SURGERY CENTER, LLC
NPI 1255194189
Clinic/Center - Ambulatory Surgical in Alexandria, VA

Active since February 02, 2024
400 FANNON ST STE 200, ALEXANDRIA, VA 22301(703) 672-2635(703) 672-2650 Get Directions Write a Review

NPPES record last updated: September 10, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 10, 2024, Jul 29, 2024 (2 updates tracked since 2024).

About Inova Oakville Ambulatory Surgery Center, Llc NPPES

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

INOVA OAKVILLE AMBULATORY SURGERY CENTER, LLC (NPI 1255194189) is a healthcare organization registered as an ambulatory surgical in Alexandria, Virginia and active in the NPI registry since February 2024. The organization lists Darasinh Phoummithone Mayard, A/r & Operations Manager, as its authorized official.

NPPES Registry Identity

NPI1255194189
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameINOVA OAKVILLE AMBULATORY SURGERY CENTER, LLC
Location Address400 FANNON ST STE 200Alexandria, VA 22301
Mailing Address400 Fannon St., 200Alexandria, VA 22301 · (703) 672-2624 · Fax (703) 672-2650
Phone(703) 672-2635
Fax(703) 672-2650
Organization SubpartNo
Authorized OfficialDarasinh Phoummithone MayardA/r & Operations Manager · (703) 395-6410
Enumeration DateFebruary 2, 2024
Last NPPES UpdateSeptember 10, 20242 updates tracked since enumeration
NPPES CertifiedSeptember 10, 2024
✔ NPI 1255194189 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
400 FANNON ST STE 200, Alexandria, VA 22301
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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 49D2308818

Inova Oakville Surgery Center, LLC · Alexandria, VA
Expired · Aug 4, 2026
CLIA Number49D2308818
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateAugust 5, 2024
Certificate Expiration DateAugust 4, 2026
Laboratory DirectorBelinda Butler
Laboratory Phone(571) 670-9001
Laboratory LocationInova Oakville Surgery Center, LLC400 Fannon Street, Suite 200, Alexandria, VA 22301
CLIA data matches this NPI record on: Address
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 Inova Oakville Ambulatory Surgery Center, LLC's NPI number?

The NPI number for Inova Oakville Ambulatory Surgery Center, LLC is 1255194189. It was assigned to this organization in the NPPES registry on February 2, 2024.

Where is Inova Oakville Ambulatory Surgery Center, LLC located?

Inova Oakville Ambulatory Surgery Center, LLC is located at 400 Fannon St Ste 200, Alexandria, VA 22301. The listed phone number is (703) 672-2635.

What is Inova Oakville Ambulatory Surgery Center, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

When was this NPI record last updated?

The NPPES record for Inova Oakville Ambulatory Surgery Center, LLC was last updated on September 10, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.