| NPI | 1508758392 |
|---|---|
| Doing Business As | IKONIC MEDICALS |
| Entity Type | Organization |
| Authorized Contact | NIANA JIMMISON Owner/Operator 757-561-3388 |
| Organization Subpart ? | No |
| Primary Taxonomy | 291U00000X Clinical Medical Laboratory |
| Enumeration Date | 2025-07-17 |
| Last Update Date | 2025-07-17 |