GASTROENTEROLOGY ASSOCIATES OF NORTHERN VIRGINIA LLC NPI 1578341780

NPI Information

NPI: 1578341780
Provider Name: GASTROENTEROLOGY ASSOCIATES OF NORTHERN VIRGINIA, LLC
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 49D1008294

Address:
3028 JAVIER RD STE 400
FAIRFAX, VA
ZIP 22031
Phone: (703) 698-8960
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GASTROENTEROLOGY ASSOCIATES OF NORTHERN VIRGINIA, LLC is an ambulatory surgical clinic center in Fairfax, VA. GASTROENTEROLOGY ASSOCIATES OF NORTHERN VIRGINIA, LLC NPI is 1578341780. The provider is registered as an organization entity type.

The provider's business location address is:

3028 JAVIER RD STE 400
FAIRFAX, VA
ZIP 22031-622
Phone: (703) 698-8960
Fax: (703) 828-0961

The provider's authorized official is Joseph Garcia .
The authorized official title is Ceo and has the following contact phone number (305) 468-4185.

The CLIA number assigned to this NPI record is 49D1008294 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/19/2023 and was last updated on 9/19/2023.

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
1	261QA1903X	Clinic/Center	Ambulatory Surgical			Yes

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: 5/5/2024

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