Organization · Type 2 NPI

Renal Treatment Centers Mid Atlantic Inc

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Fairfax, VA

NPI number 1346204575 Active

Practice location

3955 Pender Dr, Suite 110
Fairfax, VA 22030-6091

Call (703) 385-5315 Map

Fax (703) 385-6731

Mailing address

5200 Virginia Way, L & C Dept
Brentwood, TN 37027-7569

Specialties and licenses

Taxonomy	Code	License
End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary	261QE0700X	None listed

End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...

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NPI record

NPI: 1346204575
Entity type: Organization (Type 2)
Issued: Apr 14, 2006
Last updated: Jan 30, 2026
Status: Active

Other names

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Fair Oaks Dialysis · doing business as
Fair Oaks Dialysis · doing business as

Authorized official

Samuel Wey
VP Licensure & Certification
(615) 341-6641

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About NPI 1346204575

Renal Treatment Centers Mid Atlantic Inc's National Provider Identifier is 1346204575, issued on Apr 14, 2006. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Fairfax, VA. The record was last updated on Jan 30, 2026.