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

Kaiser Foundation Health Plan of the Mid Atlantic States, Inc

Organization Clinical Medical Laboratory · NPI 1942375985

Kaiser Foundation Health Plan of the Mid Atlantic States, Inc is a Clinical Medical Laboratory in Fairfax, Virginia. Registered with an NPI since 2006.

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

12255 Fair Lakes Pkwy
Fairfax, VA 22033-3952
Phone: (703) 934-5740
Fax: (703) 934-3952
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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 number1942375985
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationKaiser Foundation Health Plan of the Mid-Atlantic States, Inc
Authorized official Colleen Swinton — Credentialing Director · (301) 257-2797
Other names Fair Oaks Medical Center Laboratory; Fair Oaks Medical Center Laboratory
NPI enumeratedNovember 22, 2006
Last updated in NPPESOctober 10, 2025
Certification dateOctober 10, 2025
Mailing address4000 Garden City Dr, Hyattsville, MD 20785-2418

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