Fairfax Colon & Rectal Surgery Center, Llc

LBN: Fairfax Colon & Rectal Surgery Center, Llc
Fairfax Colon & Rectal Surgery Center, Llc is an health care organization with primary practice located at 2710 Prosperity Ave Ste 200 , Fairfax VA 22031. The organization recently has 3 registered licenses in different health care specialties including Other Service Providers / Specialist, Allopathic & Osteopathic Physicians / Colon & Rectal Surgery, Ambulatory Health Care Facilities / Ambulatory Surgical. Ambulatory Health Care Facilities / Ambulatory Surgical is the primary health care specialty. Fairfax Colon & Rectal Surgery Center, Llc can be contacted via phone (703) 280-2841, or through Delac, Michael via phone (703) 650-2333.

Contact Information

Primary practice address
2710 Prosperity Ave Ste 200 Fairfax VA 22031
Phone: (703) 280-2841
Fax: (703) 650-2322
Website:
Map and Directions
Authorized official contact:
Name: Delac, Michael CMPE
Phone: (703) 650-2333

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery 208C00000X
Ambulatory Health Care Facilities / Ambulatory Surgical 261QA1903X

Profile Details

NPI number 1306957485
LBN Legal business name Fairfax Colon & Rectal Surgery Center, Llc
DBA Doing business as
Authorized official Delac, Michael CMPE
Entity Organization
Organization subpart 1 Yes
Enumeration date Aug 31st, 2006
Last updated Dec 4th, 2013 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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