Organization
GIVFF LLC
Active
Other names
GIVF FERTILITY
Organization subpart
No
Provider details
NPI number
Authorized official
CHICQUITA JOHNSON (BUSINESS OFFICE FINANCIAL MANAGER)
(703) 289-1971
Entity
Organization
Contact information
Practice address
3015 WILLIAMS DR STE 300, FAIRFAX, VA 22031-4623
(703) 289-1971
(703) 995-0461
Mailing address
3015 WILLIAMS DR STE 300, FAIRFAX, VA 22031-4623
(703) 289-1971
(703) 995-0461
Taxonomy
Speciality
Code
Description
License number
State
207SG0207X
Medical Biochemical Genetics
—
—
207VE0102X
Reproductive Endocrinology Physician
Primary
—
—
291U00000X
Clinical Medical Laboratory
19D0221993
VA
291U00000X
Clinical Medical Laboratory
49D0886517
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
49D0221993
CLIA
VA
01
—
49D0886517
CLIA
VA
Enumeration date
12/13/2006
Last updated
11/05/2024
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