Provider Demographics
NPI:1609938232
Name:GIVFF LLC
Entity type:Organization
Organization Name:GIVFF LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:BUSINESS OFFICE FINANCIAL MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:CHICQUITA
Authorized Official - Middle Name:
Authorized Official - Last Name:JOHNSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-289-1971
Mailing Address - Street 1:3015 WILLIAMS DR STE 300
Mailing Address - Street 2:
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22031-4623
Mailing Address - Country:US
Mailing Address - Phone:703-289-1971
Mailing Address - Fax:703-995-0461
Practice Address - Street 1:3015 WILLIAMS DR STE 300
Practice Address - Street 2:
Practice Address - City:FAIRFAX
Practice Address - State:VA
Practice Address - Zip Code:22031-4623
Practice Address - Country:US
Practice Address - Phone:703-289-1971
Practice Address - Fax:703-995-0461
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-13
Last Update Date:2024-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
207SG0207X, 207VE0102X
VA19D0221993291U00000X
VA49D0886517291U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207VE0102XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyReproductive EndocrinologyGroup - Multi-Specialty
No207SG0207XAllopathic & Osteopathic PhysiciansMedical GeneticsMedical Biochemical GeneticsGroup - Multi-Specialty
No291U00000XLaboratoriesClinical Medical Laboratory
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA49D0221993OtherCLIA
VA49D0886517OtherCLIA