RESTON ENDOSCOPY CENTER
NPI 1720535958
Clinic/Center - Endoscopy in Reston, VA

Active since September 06, 2016CLIA 49D2119881 · Waiver
1939 ROLAND CLARKE PL, SUITE 200, RESTON, VA 20191(703) 766-2650 Get Directions Write a Review

NPPES record last updated: September 6, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Reston Endoscopy Center NPPES

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

RESTON ENDOSCOPY CENTER (NPI 1720535958) is a healthcare organization registered as an endoscopy in Reston, Virginia and active in the NPI registry since September 2016. The organization holds a CLIA Waiver certificate valid through October 4, 2026 and lists Andrew M Axelrad, President, as its authorized official.

NPPES Registry Identity

NPI1720535958
Entity TypeOrganization
Primary Taxonomy261QE0800X
Legal Business NameRESTON ENDOSCOPY CENTER
Location Address1939 ROLAND CLARKE PL, SUITE 200Reston, VA 20191-1443
Mailing Address1939 Roland Clarke Pl, Suite 200Reston, VA 20191-1443 · (703) 766-2650
Organization SubpartNo
Authorized OfficialAndrew M AxelradPresident · (703) 766-2650
Enumeration DateSeptember 6, 2016
NPI 1720535958 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · EndoscopyAmbulatory Health Care Facilities
Taxonomy Code261QE0800X
1939 ROLAND CLARKE PL, Reston, VA 20191

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 49D2119881

Reston Endoscopy Center · Reston, VA
Active · expires Oct 4, 2026
CLIA Number49D2119881
Laboratory TypeEndoscopy Center
Certificate Effective DateOctober 5, 2024
Certificate Expiration DateOctober 4, 2026
Laboratory DirectorAndrew M. Axelrad
Laboratory Phone(703) 766-2650
Laboratory LocationReston Endoscopy Center1939 Roland Park Place #200, Reston, VA 20191
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 3

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

Anesthesiology
1939 ROLAND CLARKE PL, SUITE 200
RESTON, VA 20191
Physician Assistant
1939 ROLAND CLARKE PL
RESTON, VA 20191
Physician Assistant (Medical)
1939 ROLAND CLARKE PL
RESTON, VA 20191

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 Reston Endoscopy Center's NPI number?

The NPI number for Reston Endoscopy Center is 1720535958. It was assigned to this organization in the NPPES registry on September 6, 2016.

Where is Reston Endoscopy Center located?

Reston Endoscopy Center is located at 1939 Roland Clarke Pl Suite 200, Reston, VA 20191. The listed phone number is (703) 766-2650.

What is Reston Endoscopy Center's specialty?

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

Does Reston Endoscopy Center hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D2119881) is associated with this NPI, valid through October 4, 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 Reston Endoscopy Center was last updated on September 6, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.