Organization
NUCLEAR MEDICINE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ELENA E ICAYAN MD SC D (OWNER/PHYSICIAN)
(509) 627-0953
Entity
Organization
Contact information
Practice address
520 N 4TH AVE, PASCO, WA 99301-5257
(509) 546-2318
(509) 546-2317
Mailing address
1222 COUNTRY RIDGE DR, RICHLAND, WA 99352-7763
(509) 627-0953
(509) 627-0954
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0025988
L & I
—
05
—
1409408
—
WA
05
—
7056005
—
WA
Enumeration date
09/01/2005
Last updated
06/16/2008
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up