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Contact Information

ICENTIA, LLC
106 MAIN ST STE 1W
BURLINGTON, VT05401-8581
 Phone: 802-341-8696
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Physiological Laboratory, (Independent Physiological Lab)

293D00000X 47 Independent Diagnostic Testing Facility (IDTF)
 

Radiology, Mobile

261QR0208X 45 Mammography Center
Indicates primary specialty

NPI Profile & details for ICENTIA, LLC

NPI Number 1215817895
LBN Legal business name ICENTIA, LLC
Authorized official YANNICK LEDEVEHAT - (VICE PRESIDENT TECHNOLOGY)
Entity Organization
Organization subpart 1 No
Enumeration date 09/04/2025
Last updated 10/06/2025 - About 8 months ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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