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

Fairfax Medical Lab LLC

Organization Clinical Medical Laboratory · NPI 1205445491

Fairfax Medical Lab LLC is a Clinical Medical Laboratory in Chantilly, Virginia. Registered with an NPI since 2020.

In the registry since
2020
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

4221 Walney Rd Ste 401A
Chantilly, VA 20151-2987
Phone: (571) 577-5556
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Medical Laboratory (primary) Taxonomy 291U00000X

Record details

NPI number1205445491
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Asra Rahman — Owner · (571) 577-5556
NPI enumeratedJuly 24, 2020
Last updated in NPPESSeptember 9, 2020
Certification dateJuly 29, 2020
Mailing address4221 Walney Rd Ste 401a, Chantilly, VA 20151-2987

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