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MALVERN ENDOSCOPY CENTER LLC
NPI 1700742913
Clinic/Center - Ambulatory Surgical in Malvern, PA

Active since December 31, 2025CLIA 39D2343441 · Waiver
325 CENTRAL AVE STE LL, MALVERN, PA 19355(410) 290-6677(410) 290-6676 Get Directions Write a Review

NPPES record last updated: December 31, 2025. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Malvern Endoscopy Center Llc NPPES

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

MALVERN ENDOSCOPY CENTER LLC (NPI 1700742913) is a healthcare organization registered as an ambulatory surgical in Malvern, Pennsylvania and active in the NPI registry since December 2025. The organization holds a CLIA Waiver certificate valid through May 6, 2028 and lists Zachary Jones, Ceo, as its authorized official.

NPPES Registry Identity

NPI1700742913
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameMALVERN ENDOSCOPY CENTER LLC
Location Address325 CENTRAL AVE STE LLMalvern, PA 19355-3265
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 · (410) 290-6677
Enumeration DateDecember 31, 2025
NPPES CertifiedDecember 31, 2025
✔ NPI 1700742913 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
325 CENTRAL AVE STE LL, Malvern, PA 19355
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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 39D2343441

Malvern Endoscopy Center LLC · Malvern, PA
Active · expires May 6, 2028
CLIA Number39D2343441
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateMay 7, 2026
Certificate Expiration DateMay 6, 2028
Laboratory DirectorDr. Johann R. Hasbun
Laboratory Phone(484) 339-6869
Laboratory LocationMalvern Endoscopy Center LLC325 Central Ave, Ste Ll, Malvern, PA 19355
CLIA data matches this NPI record on: Address 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 Malvern Endoscopy Center LLC's NPI number?

The NPI number for Malvern Endoscopy Center LLC is 1700742913. It was assigned to this organization in the NPPES registry on December 31, 2025.

Where is Malvern Endoscopy Center LLC located?

Malvern Endoscopy Center LLC is located at 325 Central Ave Ste Ll, Malvern, PA 19355. The listed phone number is (410) 290-6677.

What is Malvern Endoscopy Center LLC's specialty?

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

Does Malvern Endoscopy Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D2343441) is associated with this NPI, valid through May 6, 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 Malvern Endoscopy Center LLC was last updated on December 31, 2025. NPI Profile syncs with the weekly NPPES data releases published by CMS.