Icon Innovations Llc

LBN: Icon Innovations Llc
Icon Innovations Llc is an health care organization with primary practice located at 9620 Giddings Ave Ne , Albuquerque NM 87109-6413. The organization recently has only one registered license in Speech, Language and Hearing Service Providers / Speech-Language Pathologist, which is considered as the primary health care specialty. Icon Innovations Llc can be contacted via phone (505) 856-0284, or through Reilly, Dana Lynn via phone (505) 856-0284.

Contact Information

Primary practice address
9620 Giddings Ave Ne Albuquerque NM 87109-6413
Phone: (505) 856-0284
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Reilly, Dana Lynn M.S., CCC-SLP
Phone: (505) 856-0284

Health care specialties

SpecialtyCodeLicense #State
Speech, Language and Hearing Service Providers / Speech-Language Pathologist 235Z00000X 1818 New Mexico

Profile Details

NPI number 1760540512
LBN Legal business name Icon Innovations Llc
DBA Doing business as
Authorized official Reilly, Dana Lynn M.S., CCC-SLP
Entity Organization
Organization subpart 1 No
Enumeration date Dec 5th, 2006
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760540512 NPPES
New Mexico MEDICAID D0226

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