WOODBURN ENDOSCOPY CENTER, PLLC
NPI 1477694396
Legal Medicine in Annandale, VA

Active since February 12, 2007CLIA 49D1060652 · Waiver
3301 WOODBURN RD, SUITE 109, ANNANDALE, VA 22003(703) 752-2557 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Woodburn Endoscopy Center, Pllc NPPES

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

WOODBURN ENDOSCOPY CENTER, PLLC (NPI 1477694396) is a healthcare organization registered as a legal medicine in Annandale, Virginia and active in the NPI registry since February 2007. The organization holds a CLIA Waiver certificate valid through October 29, 2026 and lists Stafford S Goldstein, Physician, as its authorized official.

NPPES Registry Identity

NPI1477694396
Entity TypeOrganization
Primary Taxonomy173000000X
Legal Business NameWOODBURN ENDOSCOPY CENTER, PLLC
Location Address3301 WOODBURN RD, SUITE 109Annandale, VA 22003-1229
Mailing Address3301 Woodburn Rd, Suite 109Annandale, VA 22003-1229 · (703) 752-2557
Organization SubpartNo
Authorized OfficialStafford S GoldsteinPhysician · (703) 876-0437
Enumeration DateFebruary 12, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1477694396 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyLegal MedicineOther Service Providers
Taxonomy Code173000000X
Definition

The specialty areas of medicine concerned with matters of, and relations with, substantive law and legal institutions; such as the conduct of medical examinations at crime scenes, performance of autopsies, giving of expert medical testimony in judicial proceedings, medical treatment of inmates of penal institutions, the practice of trauma medicine in law enforcement settings, and other clinical practice and medical science applications in the fields of law, law enforcement, and corrections.

3301 WOODBURN RD, Annandale, VA 22003

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 49D1060652

Woodburn Endoscopy Center · Annandale, VA
Active · expires Oct 29, 2026
CLIA Number49D1060652
Laboratory TypePhysician Office
Certificate Effective DateOctober 30, 2024
Certificate Expiration DateOctober 29, 2026
Laboratory DirectorVinod K. Rustgi
Laboratory Phone(703) 336-3867
Laboratory LocationWoodburn Endoscopy Center3301 Woodburn Road - Suite 109, Annandale, VA 22003
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Surgery (Plastic and Reconstructive Surgery)
3301 WOODBURN RD, SUITE 202
ANNANDALE, VA 22003
Internal Medicine (Gastroenterology)
3301 WOODBURN RD, SUITE #107
ANNANDALE, VA 22003
Internal Medicine
3301 WOODBURN RD, SUITE 202
ANNANDALE, VA 22003
Specialist
3301 WOODBURN RD, SUITE 202
ANNANDALE, VA 22003
Ophthalmology
3301 WOODBURN RD, SUITE 308
ANNANDALE, VA 22003
Specialist
3301 WOODBURN RD, SUITE 301
ANNANDALE, VA 22003
Surgery
3301 WOODBURN RD, 209
ANNANDALE, VA 22003
Neurological Surgery
3301 WOODBURN RD, SUITE 211
ANNANDALE, VA 22003

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 Woodburn Endoscopy Center, PLLC's NPI number?

The NPI number for Woodburn Endoscopy Center, PLLC is 1477694396. It was assigned to this organization in the NPPES registry on February 12, 2007.

Where is Woodburn Endoscopy Center, PLLC located?

Woodburn Endoscopy Center, PLLC is located at 3301 Woodburn Rd Suite 109, Annandale, VA 22003. The listed phone number is (703) 752-2557.

What is Woodburn Endoscopy Center, PLLC's specialty?

The primary specialty registered for this NPI is Legal Medicine with taxonomy code 173000000X.

Does Woodburn Endoscopy Center, PLLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D1060652) is associated with this NPI, valid through October 29, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Woodburn Endoscopy Center, PLLC was last updated on August 22, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.