Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Immaculate Medical Services LLC

Organization Primary Care Clinic/Center · NPI 1821301904

Immaculate Medical Services LLC is a Primary Care Clinic/Center in Washington, District of Columbia. Licensed in District of Columbia. Registered with an NPI since 2010.

Licensed in
DC
In the registry since
2010
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

106 Irving St NW Ste 308 South
Washington, DC 20010-2927
Phone: (202) 877-0400
Fax: (202) 877-0584
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Clinic/Center (primary) Taxonomy 261QP2300X · Licence MD22148 (DC)
Occupational Medicine Clinic/Center Taxonomy 261QX0100X · Licence MD22148 (DC)

Record details

NPI number1821301904
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ann Marie Gordon — Ceo · (202) 877-0400
NPI enumeratedJuly 19, 2010
Last updated in NPPESFebruary 15, 2011
Mailing address2016 Gatewood Pl, Silver Spring, MD 20903-1505

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