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

Mira Genetix

Organization Clinical Medical Laboratory · NPI 1912787144

Mira Genetix is a Clinical Medical Laboratory in Fairfax, Virginia. Registered with an NPI since 2023.

In the registry since
2023

Practice location Address checks out

12011 Route 50 Ste 200
Fairfax, VA 22033-3310
Phone: (866) 324-9804
Fax: (866) 324-3280
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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 number1912787144
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Michael Ray — Coo · (866) 324-9804
NPI enumeratedOctober 4, 2023
Last updated in NPPESNovember 20, 2025
Certification dateNovember 20, 2025
Mailing address12011 Route 50 Ste 200, Fairfax, VA 22033-3310

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