Organization · Type 2 NPI
Viv Fairfax, LLC
End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Fairfax, VA
NPI number
1396327052
Active
Practice location
13135 Lee Jackson Memorial Hwy Ste 145
Fairfax, VA 22033-1907
Mailing address
14085 Crown Ct
Woodbridge, VA 22193-1458
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Vascular & Interventional Radiology Physician | 2085R0204X | None listed |
| 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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About NPI 1396327052
Viv Fairfax, LLC's National Provider Identifier is 1396327052, issued on Apr 22, 2021. 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 Apr 22, 2021.