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ANNANDALE OB GYN
NPI 1811057102
Specialist in Annandale, VA

Active since December 09, 2006CLIA Certified · 6 labs
4208 EVERGREEN LN, STE 213, ANNANDALE, VA 22003(703) 642-7522 Get Directions Write a Review

NPPES record last updated: July 1, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Annandale Ob Gyn NPPES

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

ANNANDALE OB GYN (NPI 1811057102) is a healthcare organization registered as a specialist in Annandale, Virginia and active in the NPI registry since December 2006. The organization holds 6 active CLIA laboratory certificates and lists Anna Nha-khanh Le, Director, as its authorized official.

NPPES Registry Identity

NPI1811057102
Entity TypeOrganization
Primary Taxonomy174400000X
Legal Business NameANNANDALE OB GYN
Location Address4208 EVERGREEN LN, STE 213Annandale, VA 22003-3235
Mailing AddressPo Box 3028Merrifield, VA 22116-3028 · (703) 642-7522
Phone(703) 642-7522
Organization SubpartNo
Authorized OfficialAnna Nha-khanh LeDirector · (703) 642-7522
Enumeration DateDecember 9, 2006
Last NPPES UpdateJuly 1, 2008
✔ NPI 1811057102 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
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.

4208 EVERGREEN LN, Annandale, VA 22003
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Other Identifiers 1

Medicaid010179785VA

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 6

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 49D2151130

Annandale Ob/Gyn · Annandale, VA
Active · expires Jul 11, 2028
CLIA Number49D2151130
Laboratory TypePhysician Office
Certificate Effective DateJuly 12, 2026
Certificate Expiration DateJuly 11, 2028
Laboratory DirectorAnna Le
Laboratory Phone(703) 642-7522
Laboratory LocationAnnandale Ob/Gyn4208 Evergreen Ln #213, Annandale, VA 22003
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 49D2303132

Annandale Obgyn · Fairfax, VA
Active · expires Apr 21, 2028
CLIA Number49D2303132
Laboratory TypePhysician Office
Certificate Effective DateApril 22, 2026
Certificate Expiration DateApril 21, 2028
Laboratory DirectorAnna Le
Laboratory Phone(703) 642-7522
Laboratory LocationAnnandale Obgyn2810 Old Lee Hwy, Fairfax, VA 22031
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 49D2340896

Annandale Obgyn · Fairfax, VA
Active · expires Mar 24, 2028
CLIA Number49D2340896
Laboratory TypePhysician Office
Certificate Effective DateMarch 25, 2026
Certificate Expiration DateMarch 24, 2028
Laboratory DirectorRami Tabbarah
Laboratory Phone(703) 642-7522
Laboratory LocationAnnandale Obgyn8318 Arlington Blvd Suite 204, Fairfax, VA 22031
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 49D2179579

Annandale Obgyn · Alexandria, VA
Active · expires Feb 25, 2028
CLIA Number49D2179579
Laboratory TypePhysician Office
Certificate Effective DateFebruary 26, 2026
Certificate Expiration DateFebruary 25, 2028
Laboratory DirectorAnna Le
Laboratory Phone(703) 642-7522
Laboratory LocationAnnandale Obgyn5148 Leesburg Pike, Alexandria, VA 22302
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 49D2179581

Annandale Obgyn · Falls Church, VA
Active · expires Feb 25, 2028
CLIA Number49D2179581
Laboratory TypePhysician Office
Certificate Effective DateFebruary 26, 2026
Certificate Expiration DateFebruary 25, 2028
Laboratory DirectorAnna Le
Laboratory Phone(703) 642-7522
Laboratory LocationAnnandale Obgyn7655 Leesburg Pike, Falls Church, VA 22043
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Certificate of Waiver 49D2331746

Annandale Obgyn · Reston, VA
Active · expires Oct 7, 2027
CLIA Number49D2331746
Laboratory TypePhysician Office
Certificate Effective DateOctober 8, 2025
Certificate Expiration DateOctober 7, 2027
Laboratory DirectorDr. Rami Tabbarah
Laboratory Phone(703) 642-7522
Laboratory LocationAnnandale Obgyn1892 Preston White Drive, Reston, VA 20191
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 11

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

CONNIE D. LE, M.D, P.C
Exclusive Provider Organization
4208 EVERGREEN LN, SUITE 214
ANNANDALE, VA 22003
Fairfax County (703) 642-6633
MR. JE UN YOO L.AC,M.AC,DIP'L.AC
Acupuncturist
4208 EVERGREEN LN, SUITE 224
ANNANDALE, VA 22003
Fairfax County (703) 642-3300
PETER D KIM M.D.
Family Medicine
4208 EVERGREEN LN, SUITE 222
ANNANDALE, VA 22003
Fairfax County (703) 642-2288
PETER D KIM MD PC
Family Medicine
4208 EVERGREEN LN, SUITE 222
ANNANDALE, VA 22003
Fairfax County (703) 642-2288
ACUPUNCTURE INNAECHUN,INC
Acupuncturist
4208 EVERGREEN LN, SUITE 224
ANNANDALE, VA 22003
Fairfax County (703) 642-3300
ANNA N LE MD
Obstetrics & Gynecology
4208 EVERGREEN LN, SUITE 213
ANNANDALE, VA 22003
Fairfax County (703) 642-7522
BEYOND BEHAVIORS, INC.
Counselor (Mental Health)
4208 EVERGREEN LN, SUITE #211
ANNANDALE, VA 22003
Fairfax County (703) 658-9300
MI SONG KONG FNP-C
Nurse Practitioner (Family)
4208 EVERGREEN LN
ANNANDALE, VA 22003
Fairfax County (703) 642-2288

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 Annandale Ob Gyn's NPI number?

The NPI number for Annandale Ob Gyn is 1811057102. It was assigned to this organization in the NPPES registry on December 9, 2006.

Where is Annandale Ob Gyn located?

Annandale Ob Gyn is located at 4208 Evergreen Ln Ste 213, Annandale, VA 22003. The listed phone number is (703) 642-7522.

What is Annandale Ob Gyn's specialty?

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

Does Annandale Ob Gyn hold CLIA laboratory certificates?

Yes. 6 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Annandale Ob Gyn was last updated on July 1, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.