MEDSTAR ENDOSCOPY CENTER VIRGINIA, LLC
NPI 1174363543
Clinic/Center - Endoscopy in Mc Lean, VA

Active since May 31, 2024CLIA 49D2317505 · Waiver
6862 ELM ST STE 740, MC LEAN, VA 22101(571) 867-0712 Get Directions Write a Review

NPPES record last updated: May 31, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Medstar Endoscopy Center Virginia, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MEDSTAR ENDOSCOPY CENTER VIRGINIA, LLC (NPI 1174363543) is a healthcare organization registered as an endoscopy in Mc Lean, Virginia and active in the NPI registry since May 2024. The organization holds a CLIA Waiver certificate valid through January 26, 2027 and lists Artur Sivaslian, Pres. Medstar Ambulatory Services, as its authorized official.

NPPES Registry Identity

NPI1174363543
Entity TypeOrganization
Primary Taxonomy261QE0800X
Legal Business NameMEDSTAR ENDOSCOPY CENTER VIRGINIA, LLC
Location Address6862 ELM ST STE 740Mc Lean, VA 22101-3862
Mailing Address10980 Grantchester Way Fl 7Columbia, MD 21044-6097 · (571) 867-0712
Organization SubpartNo
Authorized OfficialArtur SivaslianPres. Medstar Ambulatory Services · (410) 772-6696
Enumeration DateMay 31, 2024
NPPES CertifiedMay 31, 2024
NPI 1174363543 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · EndoscopyAmbulatory Health Care Facilities
Taxonomy Code261QE0800X
6862 ELM ST STE 740, Mc Lean, VA 22101

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 49D2317505

Medstar Endoscopy Center Virginia, LLC · Mclean, VA
Active · expires Jan 26, 2027
CLIA Number49D2317505
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateJanuary 27, 2025
Certificate Expiration DateJanuary 26, 2027
Laboratory DirectorDwain Skinner
Laboratory Phone(571) 282-6150
Laboratory LocationMedstar Endoscopy Center Virginia, LLC6862 Elm St, Suite 740, Mclean, VA 22101
CLIA data matches this NPI record on: Name
This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Medstar Endoscopy Center Virginia, LLC's NPI number?

The NPI number for Medstar Endoscopy Center Virginia, LLC is 1174363543. It was assigned to this organization in the NPPES registry on May 31, 2024.

Where is Medstar Endoscopy Center Virginia, LLC located?

Medstar Endoscopy Center Virginia, LLC is located at 6862 Elm St Ste 740, Mc Lean, VA 22101. The listed phone number is (571) 867-0712.

What is Medstar Endoscopy Center Virginia, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Endoscopy, with taxonomy code 261QE0800X.

Does Medstar Endoscopy Center Virginia, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D2317505) is associated with this NPI, valid through January 26, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Medstar Endoscopy Center Virginia, LLC was last updated on May 31, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.