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STAR FAMILY MEDICINE
NPI 1770753097
Clinic/Center - Primary Care in Fairfax, VA

Active since March 03, 2008
3915 OLD LEE HWY, UNIT 21-C, FAIRFAX, VA 22030(703) 385-6070 Get Directions Write a Review

NPPES record last updated: June 20, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Star Family Medicine NPPES

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

STAR FAMILY MEDICINE (NPI 1770753097) is a healthcare organization registered as a primary care in Fairfax, Virginia and active in the NPI registry since March 2008. The organization lists Monica Sorina Mihalache, Director, as its authorized official.

NPPES Registry Identity

NPI1770753097
Entity TypeOrganization
Primary Taxonomy261QP2300X
Legal Business NameSTAR FAMILY MEDICINE
Location Address3915 OLD LEE HWY, UNIT 21-CFairfax, VA 22030-2432
Mailing Address3915 Old Lee Hwy, Unit 21-cFairfax, VA 22030-2432 · (703) 385-6070
Phone(703) 385-6070
Organization SubpartNo
Authorized OfficialMonica Sorina MihalacheDirector · (703) 385-6070
Enumeration DateMarch 3, 2008
Last NPPES UpdateJune 20, 2008
✔ NPI 1770753097 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Primary CareAmbulatory Health Care Facilities
Taxonomy Code261QP2300X
License✔ Licensed in VA · 0101238983
3915 OLD LEE HWY, Fairfax, VA 22030
Open in Google Maps ↗

Other Identifiers 1

Medicare PING02815VA

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 49D2308317

Star Family Medicine · Fairfax, VA
Expired · Jul 24, 2026
CLIA Number49D2308317
Laboratory TypePhysician Office
Certificate Effective DateJuly 25, 2024
Certificate Expiration DateJuly 24, 2026
Laboratory DirectorAsdollah Livani
Laboratory Phone(703) 385-6070
Laboratory LocationStar Family Medicine9683 Main Street, Suites A & B, Fairfax, VA 22031
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 8

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

GINA M SIMONETTI DC
Chiropractor
3915 OLD LEE HWY, 22C
FAIRFAX, VA 22030
Fairfax City (703) 385-7007
STEVEN BERNABEU DC
Chiropractor
3915 OLD LEE HWY, 22C
FAIRFAX, VA 22030
Fairfax City (703) 385-7007
DR. JANET KEEJUNG SONG D.D.S.
Dentist (General Practice)
3915 OLD LEE HWY, 22-D
FAIRFAX, VA 22030
Fairfax City (703) 385-1866
REGIONAL HEALTH PARTNERS LLC
Specialist
3915 OLD LEE HWY, SUITE 21C
FAIRFAX, VA 22030
Fairfax City (703) 249-9079
DANIEL J NOONAN MD
Obstetrics & Gynecology (Gynecology)
3915 OLD LEE HWY, UNIT 21C
FAIRFAX, VA 22030
Fairfax City (703) 691-4000
MYONG J CHA DDS PC
Dentist
3915 OLD LEE HWY, 22D
FAIRFAX, VA 22030
Fairfax City (703) 273-5033
PATRIOT CHIROPRACTIC CENTER P.L.L.C.
Chiropractor
3915 OLD LEE HWY, STE 22C
FAIRFAX, VA 22030
Fairfax City (703) 385-7007
CAPITAL CITY CHIROPRACTIC MANAGEMENT PLC
Chiropractor
3915 OLD LEE HWY, SUITE 21D
FAIRFAX, VA 22030
Fairfax City (703) 994-4874

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 Star Family Medicine's NPI number?

The NPI number for Star Family Medicine is 1770753097. It was assigned to this organization in the NPPES registry on March 3, 2008.

Where is Star Family Medicine located?

Star Family Medicine is located at 3915 Old Lee Hwy Unit 21-C, Fairfax, VA 22030. The listed phone number is (703) 385-6070.

What is Star Family Medicine's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.

When was this NPI record last updated?

The NPPES record for Star Family Medicine was last updated on June 20, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.