Organization
ICON MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAIME CROSS RILEY (COO)
(702) 604-3195
Entity
Organization
Contact information
Practice address
2445 FIRE MESA ST STE 190, LAS VEGAS, NV 89128-9015
(702) 998-5800
Mailing address
2445 FIRE MESA ST STE 190, LAS VEGAS, NV 89128-9015
(702) 998-5800
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
02/01/2022
Last updated
02/01/2022
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