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

NPI Status: Active since September 06, 2016

Contact Information

1939 ROLAND CLARKE PL
SUITE 200
RESTON, VA
ZIP 20191
Phone: (703) 766-2650

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  • Organization
  • Clinic/Center
  • Endoscopy
  • CLIA Number: 49D2119881
  • CLIA Cert. Type: Other - ENDOSCOPY CENTER
  • CLIA Exp. Date: 10-04-2026

About RESTON ENDOSCOPY CENTER

This page provides the complete NPI Profile along with additional information for Reston Endoscopy Center, a provider established in Reston, Virginia operating as a Clinic/center, focusing in endoscopy . The healthcare provider is registered in the NPI registry with number 1720535958 assigned on September 2016. The practitioner's primary taxonomy code is 261QE0800X. The provider is registered as an organization and their NPI record was last updated 9 years ago. The authorized official of this NPI record is Andrew M Axelrad M.d. (President)

NPI
1720535958
Provider Name
RESTON ENDOSCOPY CENTER
Entity Type
Organization
Location Address
1939 ROLAND CLARKE PL SUITE 200 RESTON, VA 20191
Location Phone
(703) 766-2650
Mailing Address
1939 ROLAND CLARKE PL SUITE 200 RESTON, VA 20191
Mailing Phone
(703) 766-2650
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-06-2016
Last Update Date
09-06-2016
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Endoscopy

Taxonomy Code
261QE0800X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

ANDREW M AXELRAD M.D.

Authorized Official Title
PRESIDENT
Authorized Official Phone
(703) 766-2650

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
49D2119881
Facility Type
Other - ENDOSCOPY CENTER
Certificate Effective Date
October 05, 2024
Certificate Expiration Date
October 04, 2026
Laboratory Director
ANDREW M. AXELRAD
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Reston Endoscopy Center to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for RESTON ENDOSCOPY CENTER

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1720535958
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
274010310910
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 4 + 0 + 1 + 0 + 3 + 1 + 0 + 9 + 1 + 0 + 24 = 52
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 52 = 88

The NPI number 1720535958 is valid because the calculated check digit 8 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1306382411RESTESIA LLC
Organization
Anesthesiology1939 ROLAND CLARKE PL SUITE 200
RESTON, VA 20191
(703) 766-2650
1780155911 EMILY WELTY
Individual
Physician Assistant (Medical)1939 ROLAND CLARKE PL
RESTON, VA 20191
(703) 435-3366
1710610167 A. FRANCES ADAMS PA-C
Individual
Physician Assistant1939 ROLAND CLARKE PL
RESTON, VA 20191
(703) 435-3366

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1720535958, enumerated in the NPI registry as an "organization" on September 06, 2016

The provider is located at 1939 Roland Clarke Pl Suite 200 Reston, Va 20191 and the phone number is (703) 766-2650

This medical organization specializes in Clinic/Center with taxonomy code 261QE0800X with a focus in Endoscopy

The provider's CLIA number is 49D2119881 for a "other - endoscopy center" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on September 06, 2016. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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