Icon Imaging LLC
NPI #1871045492 in Orange, Connecticut
Provider Information
- NPI Number
- 1871045492
- Entity Type
- Organization
- Organization Name
- Icon Imaging LLC
- Primary Specialty
- Clinic/Center - Radiology, Mobile
- Enumeration Date
- Oct 31, 2016
- Last Updated
- Oct 31, 2016
Practice Location
- Address
- 540 BISHOP DR
- City
- Orange
- State
- Connecticut
- ZIP Code
- 06477-2522
- Phone
- (203) 553-9696
Authorized Official
- Name
- FAUSTO L MINAYA
- Title
- OWNER
- Phone
- (203) 553-9696
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Radiology, Mobile — Radiology, Mobile |
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