OrganizationActive
Fairfax Medical Laboratories, Inc.
NPI 1104852573 · Clinical Medical Laboratory · Chantilly, VA
Fairfax Medical Laboratories, Inc. is a Clinical Medical Laboratory organization in Chantilly, VA (NPI 1104852573).
Provider details
- NPI number
- 1104852573
- Entity type
- Organization
- Primary specialty
- Clinical Medical LaboratoryLaboratories
- Organization subpart
- No
- Authorized official
- Robert Fredericks, Vice President(703) 222-2313
- License
- 49D0221827 (VA)
Specialties & taxonomies
Laboratories
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4200 Pleasant Valley Rd
Chantilly, VA 20151-1211
Phone: (703) 222-2313
Fax: (703) 263-2582
Street-level locationGet directions
Mailing address
4200 Pleasant Valley Rd
Chantilly, VA 20151-1211
Registry dates
- Enumerated
- 2006-06-25
- Last updated
- 2013-01-10
Frequently asked questions
- What is Fairfax Medical Laboratories, Inc.'s NPI number?
- Fairfax Medical Laboratories, Inc.'s National Provider Identifier (NPI) is 1104852573, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Fairfax Medical Laboratories, Inc.?
- Fairfax Medical Laboratories, Inc. is classified in the NPPES registry as Clinical Medical Laboratory (Laboratories).
- Where is Fairfax Medical Laboratories, Inc. located?
- Fairfax Medical Laboratories, Inc.'s practice location on file with NPPES is 4200 Pleasant Valley Rd, Chantilly, VA 20151-1211.
- What is Fairfax Medical Laboratories, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Fairfax Medical Laboratories, Inc. is (703) 222-2313.
- Who is the authorized official for Fairfax Medical Laboratories, Inc.?
- The authorized official listed on Fairfax Medical Laboratories, Inc.'s NPPES record is Robert Fredericks, Vice President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Fairfax Medical Laboratories, Inc.'s NPI active?
- Yes — Fairfax Medical Laboratories, Inc.'s NPI (1104852573) is active in the NPPES registry as of the last update on 2013-01-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.