Icon Imaging LLC
Clinic/Center, Radiology, Mobile in Orange, Connecticut
1871045492- Practice location
- 540 Bishop Dr, Orange, CT 06477-2522
- Phone
- 203-553-9696
- Fax
- —
- Last updated
- October 31, 2016
Icon Imaging LLC is a healthcare organization based in Orange, CT. Icon Imaging LLC practices in Orange, CT. The NPI Number for Icon Imaging LLC is 1871045492. The current practice location address for Icon Imaging LLC is 540 Bishop Dr, Orange, CT 06477-2522 and can be reached out via phone at 203-553-9696.
Provider Profile Details
- NPI Number
- 1871045492
- Provider Name
- Icon Imaging LLC
- Provider Entity Type
- Organization
- Address
- 540 Bishop Dr, Orange, CT 06477-2522
- Phone Number
- 203-553-9696
- Primary Taxonomy
- Clinic/Center, Radiology, Mobile · 261QR0208X
- Organization Subpart
- No
- Authorized Official
- Fausto L Minaya · Owner · 203-553-9696
- Provider Enumeration Date
- October 31, 2016
- Last Update Date
- October 31, 2016
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 540 Bishop Dr
Orange, CT 06477-2522 - City
- Orange
- State
- Connecticut
- Zip
- 06477-2522
- Phone Number
- 203-553-9696
Provider Business Mailing Address Details
- Address
- Po Box 566
Orange, CT 06477-0566 - City
- Orange
- State
- CT
- Zip
- 06477-0566
- Phone Number
- 203-553-9696
License Information
- Taxonomy
- Clinic/Center, Radiology, Mobile · 261QR0208X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Icon Imaging LLC?
The NPI number of Icon Imaging LLC is 1871045492. It was assigned on October 31, 2016 and is currently active in the NPPES registry.
What is the specialty of Icon Imaging LLC?
Icon Imaging LLC is registered under the primary taxonomy Clinic/Center, Radiology, Mobile (code 261QR0208X).
Where does Icon Imaging LLC practice?
The practice location is 540 Bishop Dr, Orange, CT 06477-2522. The office can be reached at 203-553-9696 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1871045492 directly on the NPPES registry website.