| Organization Name: | INTEGRATED MEDICAL CENTER, L.L.C. |
| NPI Number: | 1154591923 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CHERYL DENISE JONES (ADMINISTRATOR) |
| Mailing Address: | 8700 Central Ave Suite 204 Landover |
| State: | MD US |
| Postal Code: | 207854831 |
| Phone Number: | 3013333770 |
| Fax Number: | 3013333779 |
| NPI Enumeration Date: | 03/07/2008 |
| NPI Last Update Date: | 07/12/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QE0002X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Emergency Care |
| Taxonomy Definition: | |