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1205445491
FAIRFAX MEDICAL LAB LLC
CHANTILLY, VA
NPI
1205445491
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Entity Type
Organization
Authorized Contact
ASRA RAHMAN
Owner
571-577-5556
Organization Subpart ?
No
Primary Taxonomy
291U00000X Clinical Medical Laboratory
Enumeration Date
2020-07-24
Last Update Date
2020-09-09
Business Address
FAIRFAX MEDICAL LAB LLC
4221 WALNEY RD STE 401A
CHANTILLY, VA 20151-2987
Phone number: 571-577-5556
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Mailing Address
FAIRFAX MEDICAL LAB LLC
4221 WALNEY RD STE 401A
CHANTILLY, VA 20151-2987
Phone number: 571-577-5556
Copy
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