Organization · Type 2 NPI

Immaculate Medical Services LLC

Primary Care Clinic/Center · Washington, DC

NPI number 1821301904 Active

Practice location

106 Irving St NW, Suite 308 South
Washington, DC 20010-2927

Fax (202) 877-0584

Mailing address

2016 Gatewood Pl
Silver Spring, MD 20903-1505

Specialties and licenses

TaxonomyCodeLicense
Primary Care Clinic/Center Primary 261QP2300XMD22148 (DC)
Occupational Medicine Clinic/Center 261QX0100XMD22148 (DC)

Primary Care Clinic/Center: Definition to come...

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About NPI 1821301904

Immaculate Medical Services LLC's National Provider Identifier is 1821301904, issued on Jul 19, 2010. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Washington, DC. The record was last updated on Feb 15, 2011.