FAMILY IMMEDIATE CARE,LLC
NPI 1962893974
Internal Medicine in Herndon, VA

Active since February 12, 2015CLIA 49D2099349 · Waiver
420 ELDEN ST, HERNDON, VA 20170(571) 218-5788 Get Directions Write a Review

NPPES record last updated: February 12, 2015. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Family Immediate Care,llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FAMILY IMMEDIATE CARE,LLC (NPI 1962893974) is a healthcare organization registered as an internal medicine in Herndon, Virginia and active in the NPI registry since February 2015. The organization holds a CLIA Waiver certificate valid through July 24, 2027 and lists Phetpailin Amaralikit, President, as its authorized official.

NPPES Registry Identity

NPI1962893974
Entity TypeOrganization
Primary Taxonomy207R00000X
Legal Business NameFAMILY IMMEDIATE CARE,LLC
Location Address420 ELDEN STHerndon, VA 20170-4511
Mailing Address9429 Winterset DrPotomac, MD 20854-2845 · (571) 218-5788
Organization SubpartNo
Authorized OfficialPhetpailin AmaralikitPresident · (571) 218-5788
Enumeration DateFebruary 12, 2015
NPI 1962893974 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in VA · 0101244099
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
420 ELDEN ST, Herndon, VA 20170

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 49D2099349

Family Immediate Care, LLC · Herndon, VA
Active · expires Jul 24, 2027
CLIA Number49D2099349
Laboratory TypePhysician Office
Certificate Effective DateJuly 25, 2025
Certificate Expiration DateJuly 24, 2027
Laboratory DirectorPhetpailin Amaralikit
Laboratory Phone(571) 353-1899
Laboratory LocationFamily Immediate Care, LLC420 Elden Street, Herndon, VA 20170
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
420 ELDEN ST
HERNDON, VA 20170

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Family Immediate Care,llc's NPI number?

The NPI number for Family Immediate Care,llc is 1962893974. It was assigned to this organization in the NPPES registry on February 12, 2015.

Where is Family Immediate Care,llc located?

Family Immediate Care,llc is located at 420 Elden St, Herndon, VA 20170. The listed phone number is (571) 218-5788.

What is Family Immediate Care,llc's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Does Family Immediate Care,llc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 49D2099349) is associated with this NPI, valid through July 24, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Family Immediate Care,llc was last updated on February 12, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.