OrganizationActive
Fairfax Medical Lab LLC
NPI 1205445491 · Clinical Medical Laboratory · Chantilly, VA
Fairfax Medical Lab LLC is a Clinical Medical Laboratory organization in Chantilly, VA (NPI 1205445491).
Provider details
- NPI number
- 1205445491
- Entity type
- Organization
- Primary specialty
- Clinical Medical LaboratoryLaboratories
- Organization subpart
- No
- Authorized official
- Asra Rahman, Owner(571) 577-5556
Specialties & taxonomies
Laboratories
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 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
4221 Walney Rd Ste 401a
Chantilly, VA 20151-2987
Phone: (571) 577-5556
Street-level locationGet directions
Mailing address
4221 Walney Rd Ste 401a
Chantilly, VA 20151-2987
Registry dates
- Enumerated
- 2020-07-24
- Last updated
- 2020-09-09
- Certified
- 2020-07-29
Frequently asked questions
- What is Fairfax Medical Lab LLC's NPI number?
- Fairfax Medical Lab LLC's National Provider Identifier (NPI) is 1205445491, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Fairfax Medical Lab LLC?
- Fairfax Medical Lab LLC is classified in the NPPES registry as Clinical Medical Laboratory (Laboratories).
- Where is Fairfax Medical Lab LLC located?
- Fairfax Medical Lab LLC's practice location on file with NPPES is 4221 Walney Rd Ste 401a, Chantilly, VA 20151-2987.
- What is Fairfax Medical Lab LLC's phone number?
- The practice phone number listed in the NPPES registry for Fairfax Medical Lab LLC is (571) 577-5556.
- Who is the authorized official for Fairfax Medical Lab LLC?
- The authorized official listed on Fairfax Medical Lab LLC's NPPES record is Asra Rahman, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Fairfax Medical Lab LLC's NPI active?
- Yes — Fairfax Medical Lab LLC's NPI (1205445491) is active in the NPPES registry as of the last update on 2020-09-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.