Organization Active NPI

Gastro Nova Center LLC

  • Specialist
  • Centreville, VA
National Provider Identifier
1366397598
Registry record updated Apr 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
GASTRO NOVA CENTER LLC
Practice address
5651 Stone Rd
Centreville, VA 20120-1618
Phone
(571) 717-4188
Fax
(571) 717-4199
NPI assigned
Mar 3, 2026
Last updated
Apr 27, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Lance LasnerNPI 1710088299
Title
President
Phone
(703) 862-6615

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X NU Primary

Addresses

Primary practice location

5651 Stone Rd
Centreville, VA 20120-1618

Mailing address

5651 Stone Rd
Centreville, VA 20120-1618
Phone (571) 717-4188

National Provider Directory

National Provider Directory

Locations

5651 Stone Rd
Centreville, VA 20120
Phone (703) 830-3092

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1772496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777248000000",
    "number": "1366397598",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5651 STONE RD",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201201618",
            "telephone_number": "571-717-4188",
            "fax_number": "571-717-4199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5651 STONE RD",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201201618",
            "telephone_number": "571-717-4188",
            "fax_number": "571-717-4199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GASTRO NOVA CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-03-03",
        "last_updated": "2026-04-27",
        "certification_date": "2026-04-27",
        "status": "A",
        "authorized_official_last_name": "LASNER",
        "authorized_official_first_name": "LANCE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-862-6615"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Centreville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.