# SHADY GROVE REPRODUCTIVE SCIENCE CENTER PC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** SHADY GROVE FERTILITY RSC
- **Other names:** SGF Fairfax Procedure Center
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1437646494
- **Legal business name:** SHADY GROVE FERTILITY RSC
- **Authorized official:** SHELLY SHAPIRO (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (301) 545-1407

## Contact information

- **Practice address:** 8501 ARLINGTON BLVD STE 500, FAIRFAX, VA 22031-4631
- **Practice address phone:** (703) 876-0734
- **Practice address fax:** (703) 876-4980
- **Mailing address:** 9600 BLACKWELL RD STE 500, ROCKVILLE, MD 20850-3783
- **Mailing address phone:** (301) 340-1188
- **Mailing address fax:** (301) 340-1612

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA0006X | Ambulatory Fertility Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 04/16/2018
- **Last updated:** 04/16/2018