MID-ATLANTIC GASTROINTESTINAL CENTER III
NPI 1124559679
Clinic/Center - Ambulatory Surgical in Lancaster, PA

NPI Status: Active since March 27, 2017

Contact Information

2112 HARRISBURG PIKE
SUITE 323
LANCASTER, PA
ZIP 17601
Phone: (717) 544-3569

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  • Organization
  • Clinic/Center
  • Ambulatory Surgical
  • CLIA Number: 39D2127551
  • CLIA Cert. Type: Ambulatory Surgery Center
  • CLIA Exp. Date: 03-14-2027

About MID-ATLANTIC GASTROINTESTINAL CENTER III

This page provides the complete NPI Profile along with additional information for Mid-atlantic Gastrointestinal Center Iii, a provider established in Lancaster, Pennsylvania operating as a Clinic/center, focusing in ambulatory surgical . The healthcare provider is registered in the NPI registry with number 1124559679 assigned on March 2017. The practitioner's primary taxonomy code is 261QA1903X with license number 17211501 (PA). The provider is registered as an organization and their NPI record was last updated 9 years ago. The provider's is doing business as Mid-atlantic Gastrointestinal Center Iii. The authorized official of this NPI record is Mr. Phillip A. Clendenin (President)

NPI
1124559679
Provider Legal Name
MIDATLANTIC ENDOSCOPY LLC
Other Organization Name
MID-ATLANTIC GASTROINTESTINAL CENTER III
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
2112 HARRISBURG PIKE SUITE 323 LANCASTER, PA 17601
Location Phone
(717) 544-3569
Mailing Address
2112 HARRISBURG PIKE SUITE 323 LANCASTER, PA 17601
Mailing Phone
(717) 544-3569
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-27-2017
Last Update Date
09-15-2017
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Ambulatory Surgical

Taxonomy Code
261QA1903X
Type
Ambulatory Health Care Facilities
License No.
17211501
License State
PA

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. PHILLIP A. CLENDENIN

Authorized Official Title
PRESIDENT
Authorized Official Phone
(615) 665-1283

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
39D2127551
Facility Type
Ambulatory Surgery Center
Certificate Effective Date
March 15, 2025
Certificate Expiration Date
March 14, 2027
Laboratory Director
DR. AMEET N. PARIKH
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Mid-atlantic Gastrointestinal Center Iii to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1124559679, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 61. The final step is to find the difference between that total and the next multiple of ten (70 - 61 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
1
Unchanged
Pos 3
2
Doubled → 4
Pos 4
4
Unchanged
Pos 5
5
Doubled → 10 → 1 + 0
Pos 6
5
Unchanged
Pos 7
9
Doubled → 18 → 1 + 8
Pos 8
6
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 2 → 4 5 → 10 → 1 9 → 18 → 9 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 1 + 4 + 4 + 1 + 0 + 5 + 1 + 8 + 6 + 1 + 4 + 24 = 61

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 61 is 70. The difference is the calculated check digit.

70 - 61 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1124559679.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

Internal Medicine (Gastroenterology)
2112 HARRISBURG PIKE, STE 202
LANCASTER, PA 17601
Internal Medicine (Gastroenterology)
2112 HARRISBURG PIKE, STE 202
LANCASTER, PA 17601
Plastic Surgery
2112 HARRISBURG PIKE, SUITE 327
LANCASTER, PA 17601
Nurse Practitioner (Family)
2112 HARRISBURG PIKE, SUITE 202
LANCASTER, PA 17601
Nurse Practitioner (Adult Health)
2112 HARRISBURG PIKE, SUITE 202
LANCASTER, PA 17601
Nurse Practitioner (Family)
2112 HARRISBURG PIKE, STE 202
LANCASTER, PA 17601
Internal Medicine (Gastroenterology)
2112 HARRISBURG PIKE, SUITE 202
LANCASTER, PA 17601
Nurse Practitioner (Family)
2112 HARRISBURG PIKE, SUITE 202
LANCASTER, PA 17601
Internal Medicine (Endocrinology, Diabetes & Metabolism)
2112 HARRISBURG PIKE, SUITE 200
LANCASTER, PA 17601
Internal Medicine (Cardiovascular Disease)
2112 HARRISBURG PIKE, SUITE 100
LANCASTER, PA 17601
Clinic/Center (Endoscopy)
2112 HARRISBURG PIKE, SUITE 323
LANCASTER, PA 17601
Obstetrics & Gynecology
2112 HARRISBURG PIKE, SUITE 327
LANCASTER, PA 17601
Podiatrist
2112 HARRISBURG PIKE
LANCASTER, PA 17601
Podiatrist
2112 HARRISBURG PIKE, STE 1
LANCASTER, PA 17601
Dietitian, Registered
2112 HARRISBURG PIKE, SUITE 312
LANCASTER, PA 17601
Nurse Practitioner (Adult Health)
2112 HARRISBURG PIKE, SUITE 200
LANCASTER, PA 17601
Audiologist-Hearing Aid Fitter
2112 HARRISBURG PIKE, STE 2
LANCASTER, PA 17601
Internal Medicine (Endocrinology, Diabetes & Metabolism)
2112 HARRISBURG PIKE, SUITE 200
LANCASTER, PA 17601
Internal Medicine (Endocrinology, Diabetes & Metabolism)
2112 HARRISBURG PIKE, SUITE 200
LANCASTER, PA 17601
Internal Medicine (Nephrology)
2112 HARRISBURG PIKE, SUITE 312
LANCASTER, PA 17601

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1124559679, enumerated as an "organization" on March 27, 2017.

The provider is located at 2112 HARRISBURG PIKE SUITE 323 LANCASTER, PA 17601 and the phone number is (717) 544-3569.

Clinic/Center with taxonomy code 261QA1903X and a focus in Ambulatory Surgical.