Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Fairfax Colon & Rectal Surgery Center, LLC

Organization Specialist · NPI 1306957485

Fairfax Colon & Rectal Surgery Center, LLC is a Specialist in Fairfax, Virginia. Registered with an NPI since 2006.

In the registry since
2006
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

2710 Prosperity Ave Ste 200
Fairfax, VA 22031
Phone: (703) 280-2841
Fax: (703) 650-2322
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Ambulatory Surgical Clinic/Center (primary) Taxonomy 261QA1903X
Specialist Taxonomy 174400000X
Colon & Rectal Surgery Physician Taxonomy 208C00000X

Record details

NPI number1306957485
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationFairfax Colon & Rectal Surgery, PC
Authorized official Michael Delac — Administrator · (703) 650-2333
NPI enumeratedAugust 31, 2006
Last updated in NPPESDecember 4, 2013
Mailing address2710 Prosperity Ave Ste 200, Fairfax, VA 22031

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