LEGACY DIALYSIS OF FAIRFAX LLC is an end-stage renal disease (esrd) treatment clinic center in Fairfax, VA. LEGACY DIALYSIS OF FAIRFAX LLC NPI is 1427534072. The provider is registered as an organization entity type.
The provider's business location address is:
10565 FAIRFAX BLVD STE 205
FAIRFAX, VA
ZIP 22030-104
Phone: (571) 340-3221
Fax: (571) 340-3404
The provider's authorized official is Myrlene Barrera .
The authorized official title is Director and has the following contact phone number (305) 778-8277.
The CLIA number assigned to this NPI record is 49D2183228 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.
The enumeration date for this NPI number is 7/17/2018 and was last updated on 4/15/2020.