OrganizationActive
Immaculate Medical Services LLC
NPI 1821301904 · Primary Care Clinic/Center · Washington, DC
Provider details
- NPI number
- 1821301904
- Entity type
- Organization
- Primary specialty
- Primary Care Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Ann Marie Gordon, Ceo
- License
- MD22148 (DC)
Practice location
106 Irving St Nw
Suite 308 South
Washington, DC 20010-2927
Phone: (202) 877-0400
Fax: (202) 877-0584
Mailing address
2016 Gatewood Pl
Silver Spring, MD 20903-1505
Registry dates
- Enumerated
- 2010-07-19
- Last updated
- 2011-02-15
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.