Organization
ICENTIA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YANNICK LEDEVEHAT (VICE PRESIDENT TECHNOLOGY)
(418) 561-5926
Entity
Organization
Contact information
Practice address
106 MAIN ST STE 1W, BURLINGTON, VT 05401-8581
(802) 341-8696
Mailing address
106 MAIN ST STE 1W, BURLINGTON, VT 05401-8581
(802) 341-8696
Taxonomy
Speciality
Code
Description
License number
State
261QR0208X
Mobile Radiology Clinic/Center
—
—
293D00000X
Physiological Laboratory
Primary
—
—
Other
Enumeration date
09/04/2025
Last updated
10/06/2025
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