| International Medical Center, Inc | |
|
5410 Port Royal Rd Suite 100 Springfield VA 22151-2314 | |
| (703) 642-1004 | |
| (703) 642-3232 |
| Full Name | International Medical Center, Inc |
|---|---|
| Speciality | General Practice |
| Location | 5410 Port Royal Rd, Springfield, Virginia |
| Authorized Official Name and Position | Eun Hee Lee (PRESIDENT) |
| Authorized Official Contact | 7036421004 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| International Medical Center, Inc 5410 Port Royal Rd Suite 100 Springfield VA 22151-2314 Ph: (703) 642-1004 | International Medical Center, Inc 5410 Port Royal Rd Suite 100 Springfield VA 22151-2314 Ph: (703) 642-1004 |
| NPI Number | 1265685515 |
|---|---|
| Provider Enumeration Date | 10/30/2008 |
| Last Update Date | 10/30/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265685515 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | 101052584 (Virginia) | Primary |
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