Organization · Type 2 NPI

Kaiser Foundation Health Plan of the Mid Atlantic States, Inc

Clinical Medical Laboratory · Fairfax, VA

NPI number 1942375985 Active

Practice location

12255 Fair Lakes Parkway
Fairfax, VA 22033-3952

Call (703) 934-5740 Map

Fax (703) 934-3952

Mailing address

4000 Garden City Dr
Hyattsville, MD 20785-2418

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…

18 other providers at this address

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NPI record

NPI: 1942375985
Entity type: Organization (Type 2)
Issued: Nov 22, 2006
Last updated: Oct 10, 2025
Status: Active
Subpart: Yes of Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc.

Other names

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Fair Oaks Medical Center Laboratory · doing business as
Fair Oaks Medical Center Laboratory · doing business as

Authorized official

Colleen Swinton
Credentialing Director
(301) 257-2797

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About NPI 1942375985

Kaiser Foundation Health Plan of the Mid Atlantic States, Inc's National Provider Identifier is 1942375985, issued on Nov 22, 2006. The primary taxonomy on file is Clinical Medical Laboratory (291U00000X), and the practice location is in Fairfax, VA. The record was last updated on Oct 10, 2025.