Organization
IKONIC LLC.
Active
Other names
IKonic MEDICALS
Organization subpart
No
Provider details
NPI number
Authorized official
NIANA JIMMISON (OWNER/OPERATOR)
(757) 561-3388
Entity
Organization
Contact information
Practice address
138 FOREST HEIGHTS RD, WILLIAMSBURG, VA 23188-1707
(757) 561-3388
Mailing address
138 FOREST HEIGHTS RD, WILLIAMSBURG, VA 23188-1707
(757) 561-3388
Taxonomy
Speciality
Code
Description
License number
State
291U00000X
Clinical Medical Laboratory
Primary
—
—
Other
Enumeration date
07/17/2025
Last updated
07/17/2025
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