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FAIRFAX ENDOSCOPY CENTER LLC
NPI 1831079714
Clinic/Center - Ambulatory Surgical in Fairfax, VA

Active since September 03, 2025CLIA 49D2340104 · Waiver
12011 ROUTE 50 STE 103, FAIRFAX, VA 22033(410) 290-6677(410) 290-6676 Get Directions Write a Review

NPPES record last updated: September 3, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Fairfax Endoscopy Center Llc NPPES

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

FAIRFAX ENDOSCOPY CENTER LLC (NPI 1831079714) is a healthcare organization registered as an ambulatory surgical in Fairfax, Virginia and active in the NPI registry since September 2025. The organization holds a CLIA Waiver certificate valid through March 11, 2028 and lists Zachary Jones, Ceo, as its authorized official.

NPPES Registry Identity

NPI1831079714
Entity TypeOrganization
Primary Taxonomy261QA1903X
Legal Business NameFAIRFAX ENDOSCOPY CENTER LLC
Location Address12011 ROUTE 50 STE 103Fairfax, VA 22033-3323
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 DateSeptember 3, 2025
NPPES CertifiedSeptember 3, 2025
✔ NPI 1831079714 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities
Taxonomy Code261QA1903X
12011 ROUTE 50 STE 103, Fairfax, VA 22033
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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 49D2340104

Fairfax Endoscopy Center LLC · Fairfax, VA
Active · expires Mar 11, 2028
CLIA Number49D2340104
Laboratory TypeAmbulatory Surgery Center
Certificate Effective DateMarch 12, 2026
Certificate Expiration DateMarch 11, 2028
Laboratory DirectorRushi Talati
Laboratory Phone(571) 570-1819
Laboratory LocationFairfax Endoscopy Center LLC12011 Route 50 Suite 103, Fairfax, VA 22033
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

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

BELTWAY MEDICAL GROUP
Physical Therapist
12011 ROUTE 50 STE 103
FAIRFAX, VA 22033
Fairfax County (703) 232-2524

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 Fairfax Endoscopy Center LLC's NPI number?

The NPI number for Fairfax Endoscopy Center LLC is 1831079714. It was assigned to this organization in the NPPES registry on September 3, 2025.

Where is Fairfax Endoscopy Center LLC located?

Fairfax Endoscopy Center LLC is located at 12011 Route 50 Ste 103, Fairfax, VA 22033. The listed phone number is (410) 290-6677.

What is Fairfax Endoscopy Center LLC's specialty?

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

Does Fairfax Endoscopy Center LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D2340104) is associated with this NPI, valid through March 11, 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 Fairfax Endoscopy Center LLC was last updated on September 3, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.