Organization Active NPI

Amerimmune LLC

  • Clinical Medical Laboratory
  • Fairfax, VA
National Provider Identifier
1205238383
Registry record updated Sep 21, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
AMERIMMUNE LLC
Practice address
11212 Waples Mill Rd
Suite 100
Fairfax, VA 22030-7404
Phone
(571) 308-1900
Fax
(571) 308-1919
NPI assigned
Sep 21, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Oral Alpan, M.D.NPI 1881788610
Title
Owner
Phone
(571) 308-1900

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

11212 Waples Mill Rd
Suite 100
Fairfax, VA 22030-7404

Mailing address

11212 Waples Mill Rd
Suite 100
Fairfax, VA 22030-7404
Phone (571) 308-1900

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1411257600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411257600000",
    "number": "1205238383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11212 WAPLES MILL RD",
            "address_2": "SUITE 100",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220307404",
            "telephone_number": "571-308-1900",
            "fax_number": "571-308-1919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11212 WAPLES MILL RD",
            "address_2": "SUITE 100",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220307404",
            "telephone_number": "571-308-1900",
            "fax_number": "571-308-1919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERIMMUNE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-21",
        "last_updated": "2014-09-21",
        "status": "A",
        "authorized_official_last_name": "ALPAN",
        "authorized_official_first_name": "ORAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "571-308-1900",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.