Provider Demographics
NPI:1053686329
Name:INTEGRATED MEDICAL CENTER LLC
Entity type:Organization
Organization Name:INTEGRATED MEDICAL CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STEVE
Authorized Official - Middle Name:
Authorized Official - Last Name:LININGER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-396-7770
Mailing Address - Street 1:8214 CENTREVILLE RD
Mailing Address - Street 2:
Mailing Address - City:MANASSAS
Mailing Address - State:VA
Mailing Address - Zip Code:20111-2226
Mailing Address - Country:US
Mailing Address - Phone:703-396-7770
Mailing Address - Fax:703-396-7008
Practice Address - Street 1:8214 CENTREVILLE RD
Practice Address - Street 2:
Practice Address - City:MANASSAS
Practice Address - State:VA
Practice Address - Zip Code:20111-2226
Practice Address - Country:US
Practice Address - Phone:703-396-7770
Practice Address - Fax:703-396-7008
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-20
Last Update Date:2012-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Multi-Specialty