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TIMONIUM ENDOSCOPY CENTER LLC
NPI 1407632847
Clinic/Center - Ambulatory Surgical in Lutherville, MD

Active since September 01, 2023CLIA 21D2299350 · Waiver
1212 YORK RD STE B101, LUTHERVILLE, MD 21093(410) 290-6677(410) 290-6676 Get Directions Write a Review

NPPES record last updated: September 1, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Timonium Endoscopy Center Llc NPPES

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

TIMONIUM ENDOSCOPY CENTER LLC (NPI 1407632847) is a healthcare organization registered as an ambulatory surgical in Lutherville, Maryland and active in the NPI registry since September 2023. The organization holds a CLIA Waiver certificate valid through February 19, 2028 and lists Zachary Jones, Ceo, as its authorized official.

NPPES Registry Identity

NPI1407632847
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameTIMONIUM ENDOSCOPY CENTER LLC
Location Address1212 YORK RD STE B101Lutherville, MD 21093-6233
Mailing Address7120 Minstrel Way Ste 100Columbia, MD 21045-5274 · (410) 290-6677 · Fax (410) 290-6676
Phone(410) 290-6677
Fax(410) 290-6676
Organization SubpartNo
Authorized OfficialZachary JonesCeo · (207) 631-7837
Enumeration DateSeptember 1, 2023
NPPES CertifiedSeptember 1, 2023
✔ NPI 1407632847 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
1212 YORK RD STE B101, Lutherville, MD 21093
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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 21D2299350

Timonium Endoscopy Centers LLC · Lutherville, MD
Active · expires Feb 19, 2028
CLIA Number21D2299350
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateFebruary 20, 2026
Certificate Expiration DateFebruary 19, 2028
Laboratory DirectorRudrajit Rai
Laboratory Phone(410) 290-6677
Laboratory LocationTimonium Endoscopy Centers LLC1212 York Road Suite B101, Lutherville, MD 21093
CLIA data matches this NPI record on: Address Name Phone
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 Timonium Endoscopy Center LLC's NPI number?

The NPI number for Timonium Endoscopy Center LLC is 1407632847. It was assigned to this organization in the NPPES registry on September 1, 2023.

Where is Timonium Endoscopy Center LLC located?

Timonium Endoscopy Center LLC is located at 1212 York Rd Ste B101, Lutherville, MD 21093. The listed phone number is (410) 290-6677.

What is Timonium Endoscopy Center LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Does Timonium Endoscopy Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 21D2299350) is associated with this NPI, valid through February 19, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Timonium Endoscopy Center LLC was last updated on September 1, 2023. 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.