Healthcare Provider Details

I. General information

NPI: 1891651253
Provider Name (Legal Business Name): ALEXANDRA HARRIS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/30/2025
Last Update Date: 12/30/2025
Certification Date: 12/30/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3921 MINNESOTA AVE NE
WASHINGTON DC
20019-2662
US

IV. Provider business mailing address

3921 MINNESOTA AVE NE
WASHINGTON DC
20019-2662
US

V. Phone/Fax

Practice location:
  • Phone: 202-839-5310
  • Fax: 202-810-9189
Mailing address:
  • Phone: 202-839-5310
  • Fax: 202-810-9189

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code291U00000X
TaxonomyClinical Medical Laboratory
License Number
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: