National Provider Identifier Database

SHADY GROVE REPRODUCTIVE SCIENCE CENTER PC
Ambulatory Fertility Facility

A fertility facility, which may be licensed, registered, or certified in some states, that is not hospital-based, where services are provided at a fixed specific location. An Ambulatory Fertility Facility does not provide overnight accommodations. The following fertility procedures may be performed at an Ambulatory Fertility Facility: In Vitro Fertilization (IVF), Gamete Intrafallopian Transfer (GIFT), Embryo Transfer-Thaw (ET-T), Zygote Intrafallopian Transfer (ZIFT), Donor OOCYTE (DO)


Contact Information

SHADY GROVE REPRODUCTIVE SCIENCE CENTER PC
8501 ARLINGTON BLVD STE 500
FAIRFAX, VA22031-4631
Phone: 703-876-0734
Fax: 703-876-4980
Website:
Specialty Taxonomy Code
* Ambulatory Fertility Facility 261QA0006X

* Indicates primary specialty

NPI Profile & details for SHADY GROVE REPRODUCTIVE SCIENCE CENTER PC

NPI Number 1437646494
Legal business name
LBN
SHADY GROVE REPRODUCTIVE SCIENCE CENTER PC
Authorized official SHELLY SHAPIRO - (CHIEF FINANCIAL OFFICER)
Entity Organization
Organization subpart Yes
Enumeration date 04/16/2018
Last updated 04/16/2018 - About 8 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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