MEDSTAR ENDOSCOPY CENTER VIRGINIA LLC NPI 1174363543

NPI Information

  • NPI: 1174363543
  • Provider Name: MEDSTAR ENDOSCOPY CENTER VIRGINIA, LLC
  • Classification: Clinic/Center - 261QE0800X
  • Specialization: Endoscopy
  • Entity Type: Organization
  • CLIA Number: 49D2317505
  • Address: 6862 ELM ST STE 740
    MC LEAN, VA
    ZIP 22101
  • Phone: (571) 867-0712

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NPI Details

MEDSTAR ENDOSCOPY CENTER VIRGINIA, LLC is an endoscopy clinic center in Mc Lean, VA. MEDSTAR ENDOSCOPY CENTER VIRGINIA, LLC NPI is 1174363543. The provider is registered as an organization entity type.

The provider's business location address is:

6862 ELM ST STE 740
MC LEAN, VA
ZIP 22101-862
Phone: (571) 867-0712

The provider's authorized official is Artur Sivaslian .
The authorized official title is Pres. Medstar Ambulatory Services and has the following contact phone number (410) 772-6696.

The CLIA number assigned to this NPI record is 49D2317505 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/31/2024 and was last updated on 5/31/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QE0800XClinic/CenterEndoscopyYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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