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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 | Specialty Code | Provider Type | |
Ambulatory Fertility Facility |
261QA0006X | |||
Ambulatory Surgical |
261QA1903X | 49 | Ambulatory Surgical Center |
| NPI # | 1598297269 |
| LBN Legal business name | CCRM NORTHERN VIRGINIA, LLC |
| Authorized official | JON PARDEW - (CEO) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | 03/31/2017 |
| Last updated | 06/08/2021 - About 5 years ago |
| Identifiers | n/a |
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CCRM NORTHERN VIRGINIA, LLC