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CLINICAL SKIN CENTER
NPI 1700887387
Specialist in Fairfax, VA

Active since August 09, 2005CLIA 49D1002070 · Certificate of Compliance
3700 JOSEPH SIEWICK DR, SUITE 404, FAIRFAX, VA 22033(703) 620-8900(703) 620-2288 Get Directions Write a Review

NPPES record last updated: January 14, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Clinical Skin Center NPPES

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

CLINICAL SKIN CENTER (NPI 1700887387) is a healthcare organization registered as a specialist in Fairfax, Virginia and active in the NPI registry since August 2005. The organization holds a CLIA Certificate of Compliance certificate valid through June 26, 2028 and lists Mitchell E. Stashower, Owner, as its authorized official.

NPPES Registry Identity

NPI1700887387
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameTHE CLINICAL SKIN CENTER OF NORTHERN VIRGINIA PLLC
Location Address3700 JOSEPH SIEWICK DR, SUITE 404Fairfax, VA 22033-1744
Mailing Address3700 Joseph Siewick Dr, Suite 404Fairfax, VA 22033-1744 · (703) 620-8900 · Fax (703) 620-2288
Phone(703) 620-8900
Fax(703) 620-2288
Organization SubpartNo
Authorized OfficialMitchell E. StashowerOwner · (703) 620-8900
Enumeration DateAugust 9, 2005
Last NPPES UpdateJanuary 14, 2011
✔ NPI 1700887387 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in VA · 0101049818
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.
3700 JOSEPH SIEWICK DR, Fairfax, VA 22033
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Other Names 1

Doing Business AsClinical Skin Center

Other Identifiers 1

Medicare ID-Type UnspecifiedG00833Medicare Group #

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 Compliance 49D1002070

Clinical Skin Center Of Northern Virginia, The · Fairfax, VA
Active · expires Jun 26, 2028
CLIA Number49D1002070
Laboratory TypePhysician Office
Certificate Effective DateJune 27, 2026
Certificate Expiration DateJune 26, 2028
Laboratory DirectorMitchell E. Stashower
Laboratory Phone(703) 620-8900
Laboratory LocationClinical Skin Center Of Northern Virginia, The3700 Joseph Siewick Drive - Suite 404, Fairfax, VA 22033
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DAVID PAUL SIBLEY D.D.S.
Dentist (General Practice)
3700 JOSEPH SIEWICK DR, SUITE #307
FAIRFAX, VA 22033
Fairfax County (703) 715-9227
MS. KRISTIN DERMODY MAGGI PA-C
Physician Assistant (Medical)
3700 JOSEPH SIEWICK DR, SUITE 308
FAIRFAX, VA 22033
Fairfax County (703) 698-8960
WASEEM ISMAIL AZIZ MD
Internal Medicine (Gastroenterology)
3700 JOSEPH SIEWICK DR, SUITE 401
FAIRFAX, VA 22033
Fairfax County (703) 281-1023
JYOTHI GADDE MD PA
Specialist
3700 JOSEPH SIEWICK DR, STE 304
FAIRFAX, VA 22033
Fairfax County (703) 648-0015
GASTROINTESTINAL MEDICINE ASSOCIATES, PC
Clinic/Center (Medical Specialty)
3700 JOSEPH SIEWICK DR, SUITE 401
FAIRFAX, VA 22033
Fairfax County (703) 281-1023
DR. PETER L SCUDERA M.D.
Internal Medicine (Gastroenterology)
3700 JOSEPH SIEWICK DR, SUITE 308
FAIRFAX, VA 22033
Fairfax County (703) 698-8960
NOVA WOUND CARE, P.C.
Family Medicine
3700 JOSEPH SIEWICK DR, 303
FAIRFAX, VA 22033
Fairfax County (703) 664-8025
HERCHARAN KAUR SETHI M.D. P.C.
Obstetrics & Gynecology
3700 JOSEPH SIEWICK DR
FAIRFAX, VA 22033
Fairfax County (703) 476-5200

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 The Clinical Skin Center Of Northern Virginia PLLC's NPI number?

The NPI number for The Clinical Skin Center Of Northern Virginia PLLC is 1700887387. It was assigned to this organization in the NPPES registry on August 9, 2005. The provider is doing business as Clinical Skin Center.

Where is The Clinical Skin Center Of Northern Virginia PLLC located?

The Clinical Skin Center Of Northern Virginia PLLC is located at 3700 Joseph Siewick Dr Suite 404, Fairfax, VA 22033. The listed phone number is (703) 620-8900.

What is The Clinical Skin Center Of Northern Virginia PLLC's specialty?

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

Does The Clinical Skin Center Of Northern Virginia PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Compliance (number 49D1002070) is associated with this NPI, valid through June 26, 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 The Clinical Skin Center Of Northern Virginia PLLC was last updated on January 14, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.