Organization
VIRGINIA REPRODUCTIVE LABS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FADY I SHARARA M.D. (MEDICAL DIRECTOR)
(703) 437-7722
Entity
Organization
Contact information
Practice address
11150 SUNSET HILLS RD, SUITE 100, RESTON, VA 20190-5360
(703) 437-7722
Mailing address
11150 SUNSET HILLS RD, SUITE 100, RESTON, VA 20190-5360
(703) 437-7722
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
199698
NON PAR # W ANTHEM
VA
Enumeration date
07/19/2006
Last updated
08/22/2020
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