Organization · Type 2 NPI

Mira Genetix

Clinical Medical Laboratory · Fairfax, VA

NPI number 1912787144 Active

Practice location

12011 Route 50 Ste 200
Fairfax, VA 22033-3310

Fax (866) 324-3280

Specialties and licenses

Taxonomy	Code	License
Clinical Medical Laboratory Primary	291U00000X	None listed

Clinical Medical Laboratory: (1) A clinical laboratory is a facility for the biological, microbiological, serological, chemical, immunohematological, hematological, biophysical, cytological, pathological, or other examination of materials derived from the human body for the purpose of providing information for the diagnosis, prevention, or treatment of any disease or impairment of, human beings. These examinations also include procedures to det…

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About NPI 1912787144

Mira Genetix's National Provider Identifier is 1912787144, issued on Oct 4, 2023. The primary taxonomy on file is Clinical Medical Laboratory (291U00000X), and the practice location is in Fairfax, VA. The record was last updated on Nov 20, 2025.