Healthcare Provider Details

I. General information

NPI: 1255646311
Provider Name (Legal Business Name): APHERESIS ASSOCIATES OF NORTHERN VIRGINIA, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/13/2010
Last Update Date: 08/13/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3289 WOODBURN RD SUITE 220
ANNANDALE VA
22003-6800
US

IV. Provider business mailing address

43760 TRADE CENTER PL SUITE 100
DULLES VA
20166-2188
US

V. Phone/Fax

Practice location:
  • Phone: 703-698-1079
  • Fax:
Mailing address:
  • Phone: 877-648-9150
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code331L00000X
TaxonomyBlood Bank
License Number
License Number State

VIII. Authorized Official

Name: MS. SUSAN M FRITZEL
Title or Position: PRESIDENT
Credential: HP(ASCP)
Phone: 703-698-1079