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
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