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

Fairfax Medical Laboratories, Inc

Organization Clinical Medical Laboratory · NPI 1104852573

Fairfax Medical Laboratories, Inc is a Clinical Medical Laboratory in Chantilly, Virginia. Licensed in Virginia. Registered with an NPI since 2006.

Licensed in
VA
In the registry since
2006
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4200 Pleasant Valley Rd
Chantilly, VA 20151-1211
Phone: (703) 222-2313
Fax: (703) 263-2582
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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 · Licence 49D0221827 (VA)

Record details

NPI number1104852573
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Robert Fredericks — Vice President · (703) 222-2313
NPI enumeratedJune 25, 2006
Last updated in NPPESJanuary 10, 2013
Mailing address4200 Pleasant Valley Rd, Chantilly, VA 20151-1211

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