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Contact Information

LOUDOUN ENDOSCOPY GROUP, LLC
19455 DEERFIELD AVE STE 212
LANSDOWNE, VA20176-8102
 Phone: 703-724-9792
 Fax: 703-858-7310
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Endoscopy

261QE0800X
Indicates primary specialty

NPI Profile & details for LOUDOUN ENDOSCOPY GROUP, LLC

NPI # 1801962741
LBN Legal business name LOUDOUN ENDOSCOPY GROUP, LLC
Authorized official KRISTINA MATERNA - (DIRECTOR, CREDENTIALING)
Entity Organization
Organization subpart 1 No
Enumeration date 11/24/2006
Last updated 02/03/2026 - About 4 months ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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