NPIMap

Organization Active NPI

Ici 24 7 PC

  • Diagnostic Radiology Physician
  • Emporia, VA
National Provider Identifier
1497049613
Registry record updated May 7, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
Legal business name
ICI 24 7 PC
Practice address
727 N Main St
Emporia, VA 23847-1274
Phone
(434) 348-4400
Fax
(434) 348-4945
NPI assigned
Jun 6, 2011
Last updated
May 7, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Alix Vincent, MD
Title
President
Phone
(949) 480-9692

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Diagnostic Radiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2085R0202X Primary

Addresses

Primary practice location

727 N Main St
Emporia, VA 23847-1274

Mailing address

75 Remittance Dr Dept 6597
Dept 6597
Chicago, IL 60675-6597
Phone (951) 786-0801

National Provider Directory

National Provider Directory

Locations

62255 Collection Ctr Dr
Chicago, IL 60693

75 Remittance Dr
Dept 6597
Chicago, IL 60675

Atth Ici 247 Pc
Chicago, IL 60693

Attn Ici 247 Pc
Chicago, IL 60693

Practitioners & affiliated clinicians

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1307318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1430956800000",
    "number": "1497049613",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 REMITTANCE DR DEPT 6597",
            "address_2": "DEPT 6597",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606756597",
            "telephone_number": "951-786-0801",
            "fax_number": "855-226-5960"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "727 N MAIN ST",
            "city": "EMPORIA",
            "state": "VA",
            "postal_code": "238471274",
            "telephone_number": "434-348-4400",
            "fax_number": "434-348-4945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ICI 24 7 PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-06",
        "last_updated": "2015-05-07",
        "status": "A",
        "authorized_official_last_name": "VINCENT",
        "authorized_official_first_name": "ALIX",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "949-480-9692",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2085R0202X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Diagnostic Radiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Emporia, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.