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)
| Specialty | Taxonomy Code | |
|---|---|---|
| * | Ambulatory Fertility Facility | 261QA0006X |
| Ambulatory Surgical | 261QA1903X |
* Indicates primary specialty
| NPI Number | 1598297269 |
| Legal business name LBN |
CCRM NORTHERN VIRGINIA, LLC |
| Authorized official | JON PARDEW - (CEO) |
| Entity | Organization |
| Organization subpart | No |
| Enumeration date | 03/31/2017 |
| Last updated | 06/08/2021 - About 5 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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