Ikonic LLC.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

IKONIC LLC.

Doing business as

IKonic MEDICALS

Practice address

138 Forest Heights Rd
Williamsburg, VA 23188-1707

Phone

(757) 561-3388

NPI assigned

Jul 17, 2025

Last updated

Jul 17, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Niana Jimmison

Title

Owner/Operator

Phone

(757) 561-3388

Specialties & licenses 1

Addresses

Other names 1

• IKonic MEDICALS Doing business as

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

{
    "created_epoch": "1752710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752710400000",
    "number": "1508758392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 FOREST HEIGHTS RD",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231881707",
            "telephone_number": "757-561-3388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 FOREST HEIGHTS RD",
            "city": "WILLIAMSBURG",
            "state": "VA",
            "postal_code": "231881707",
            "telephone_number": "757-561-3388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IKONIC LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-17",
        "last_updated": "2025-07-17",
        "certification_date": "2025-07-16",
        "status": "A",
        "authorized_official_last_name": "JIMMISON",
        "authorized_official_first_name": "NIANA",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "757-561-3388"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "IKonic MEDICALS",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Clinical Medical Laboratory in Williamsburg, VA
• Providers in Williamsburg, VA by specialty
• Clinical Medical Laboratory in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2025; 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.