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GI ENDOSCOPY CENTER OF NORTHERN VIRGINIA
NPI 1790912566
Clinic/Center - Endoscopy in Alexandria, VA

Active since June 18, 2009CLIA 49D1103662 · Waiver
4660 KENMORE AVE, SUITE 100, ALEXANDRIA, VA 22304(703) 751-5763(703) 370-4655 Get Directions Write a Review

NPPES record last updated: May 15, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Gi Endoscopy Center Of Northern Virginia NPPES

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

GI ENDOSCOPY CENTER OF NORTHERN VIRGINIA (NPI 1790912566) is a healthcare organization registered as an endoscopy in Alexandria, Virginia and active in the NPI registry since June 2009. The organization holds a CLIA Waiver certificate valid through August 13, 2027 and lists Mary Beth Tamasy, Ceo, as its authorized official.

NPPES Registry Identity

NPI1790912566
Entity TypeOrganization
Primary Taxonomy261QE0800X
Legal Business NameGI ENDOSCOPY CENTER OF NORTHERN VIRGINIA
Location Address4660 KENMORE AVE, SUITE 100Alexandria, VA 22304-1313
Mailing AddressPo Box 17334Baltimore, MD 21297-1334 · (703) 443-6717 · Fax (703) 443-8643
Phone(703) 751-5763
Fax(703) 370-4655
Organization SubpartNo
Authorized OfficialMary Beth TamasyCeo · (703) 737-6010
Enumeration DateJune 18, 2009
Last NPPES UpdateMay 15, 2013
✔ NPI 1790912566 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · EndoscopyAmbulatory Health Care Facilities
Taxonomy Code261QE0800X
4660 KENMORE AVE, Alexandria, VA 22304
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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 49D1103662

Gi Endoscopy Center Of Northern Virginia, LLC · Alexandria, VA
Active · expires Aug 13, 2027
CLIA Number49D1103662
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateAugust 14, 2025
Certificate Expiration DateAugust 13, 2027
Laboratory DirectorRobert J. Hally
Laboratory Phone(703) 751-5763
Laboratory LocationGi Endoscopy Center Of Northern Virginia, LLC4660 Kenmore Avenue - Suite 100, Alexandria, VA 22304
CLIA data matches this NPI record on: Address Name Phone
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.

DR. KENNETH MICHAEL AHDOOT MD
Obstetrics & Gynecology
4660 KENMORE AVE, SUITE #902
ALEXANDRIA, VA 22304
Alexandria City (703) 370-4300
STEFANO FRANCO AGOLINI
Surgery
4660 KENMORE AVE, SUITE 419
ALEXANDRIA, VA 22304
Alexandria City (703) 823-4066
KELLY L COOPER PT
Physical Therapist
4660 KENMORE AVE, SUITE 420
ALEXANDRIA, VA 22304
Alexandria City (703) 751-1008
NIYADELL, INC
Technician/Technologist (Optician)
4660 KENMORE AVE, SUITE 101
ALEXANDRIA, VA 22304
Alexandria City (703) 751-2800
GEORGE W TAWIL MD
Urology
4660 KENMORE AVE, SUITE 735
ALEXANDRIA, VA 22304
Alexandria City (703) 370-2132
COMPUTED TOMOGRAPHY ASSOCIATES
Radiology (Diagnostic Radiology)
4660 KENMORE AVE, SUITE 608
ALEXANDRIA, VA 22304
Alexandria City (703) 824-3260
MS. GINA KARLIN HALDEMAN CNM
Nurse Practitioner (Obstetrics & Gynecology)
4660 KENMORE AVE, #902
ALEXANDRIA, VA 22304
Alexandria City (703) 370-4300
DR. KRISTINA KATHLEEN HIBSHMAN M.D.
Obstetrics & Gynecology
4660 KENMORE AVE, SUITE 1100
ALEXANDRIA, VA 22304
Alexandria City (703) 370-0400

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 Gi Endoscopy Center Of Northern Virginia's NPI number?

The NPI number for Gi Endoscopy Center Of Northern Virginia is 1790912566. It was assigned to this organization in the NPPES registry on June 18, 2009.

Where is Gi Endoscopy Center Of Northern Virginia located?

Gi Endoscopy Center Of Northern Virginia is located at 4660 Kenmore Ave Suite 100, Alexandria, VA 22304. The listed phone number is (703) 751-5763.

What is Gi Endoscopy Center Of Northern Virginia's specialty?

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

Does Gi Endoscopy Center Of Northern Virginia hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D1103662) is associated with this NPI, valid through August 13, 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 Gi Endoscopy Center Of Northern Virginia was last updated on May 15, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.