Organization · Type 2 NPI
Icentia, LLC
Physiological Laboratory · Burlington, VT
Practice location
106 Main St Ste 1W
Burlington, VT 05401-8581
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mobile Radiology Clinic/Center | 261QR0208X | None listed |
| Physiological Laboratory Primary | 293D00000X | None listed |
Physiological Laboratory: A laboratory that operates independently of a hospital and physician's office to furnish physiological diagnostic services (e.g. EEG's , EKG's, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical labora…
About NPI 1215817895
Icentia, LLC's National Provider Identifier is 1215817895, issued on Sep 4, 2025. The primary taxonomy on file is Physiological Laboratory (293D00000X), and the practice location is in Burlington, VT. The record was last updated on Oct 6, 2025.