VIV FAIRFAX LLC NPI 1396327052

NPI Information

NPI: 1396327052
Provider Name: VIV FAIRFAX, LLC
Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
13135 LEE JACKSON MEMORIAL HWY STE 145
FAIRFAX, VA
ZIP 22033
Phone: (215) 828-2387
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VIV FAIRFAX, LLC is an end-stage renal disease (esrd) treatment clinic center in Fairfax, VA. VIV FAIRFAX, LLC NPI is 1396327052. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

13135 LEE JACKSON MEMORIAL HWY STE 145
FAIRFAX, VA
ZIP 22033-907
Phone: (215) 828-2387

The provider's authorized official is Anish P Shah .
The authorized official title is Ceo and has the following contact phone number (215) 828-2387.

The enumeration date for this NPI number is 4/22/2021 and was last updated on 4/22/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2085R0204X	Radiology	Vascular & Interventional Radiology			No
2	261QE0700X	Clinic/Center	End-Stage Renal Disease (ESRD) Treatment			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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