Active NPI
Prosperity Labs LLC
- Clinical Medical Laboratory
- Fairfax, VA
National Provider Identifier
1336918283
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Medical Laboratory
- Legal business name
- PROSPERITY LABS LLC
- Practice address
- 10617 Jones St Ste 101a
Fairfax, VA 22030-7526 - Phone
- (443) 848-1021
- NPI assigned
- Dec 20, 2023
- Last updated
- Jul 23, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Katharina Thiara
- Title
- Ceo
- Phone
- (443) 848-1021
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | NU | Primary |
Addresses
Primary practice location
10617 Jones St Ste 101a
Fairfax, VA 22030-7526
Mailing address
10617 Jones St Ste 101a
Fairfax, VA 22030-7526
Phone (443) 848-1021
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20240412003279 | DC | Part B Supplier - Independent Clinical Laboratory | 5395184139 | Practice locations: Centreville, VA |
National Provider Directory
National Provider DirectoryLocations
10617 Jones St
Ste 101A
Fairfax, VA 22030
Phone (443) 848-1021
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Obstetrics & Gynecology Physician
- Centreville, VA
- NPI 1053562009
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1703030400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1753228800000",
"number": "1336918283",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10617 JONES ST STE 101A",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220307526",
"telephone_number": "443-848-1021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10617 JONES ST STE 101A",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220307526",
"telephone_number": "443-848-1021"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PROSPERITY LABS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-12-20",
"last_updated": "2025-07-23",
"certification_date": "2025-07-23",
"status": "A",
"authorized_official_last_name": "THIARA",
"authorized_official_first_name": "KATHARINA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "443-848-1021"
},
"taxonomies": [
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fairfax, VA
- Progressive Physical Therapy, LLC
- Project Health Corp
- Project Health Physical Therapy and Wellness LLC
- Pronto Therapy Group LLC
- Prospect Homecare Agency
- Prosperity Pharmacy Med Center Inc (Hann's Pharmacy)
- Prosperity RX Fairfax Inc
- Prost Counseling Services, LLC
- Diane McCarthy Prost, PSYD, MED, NCC, LPC
- Marina Protopapas, D.O.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.