Ikonisys Inc.

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

Legal business name

IKONISYS INC.

Doing business as

Ikonisys Clinical Laboratories

Practice address

5 Science Park
New Haven, CT 06511-1966

Phone

(203) 776-0791

Fax

(203) 776-0795

NPI assigned

Nov 29, 2007

Last updated

Apr 8, 2008By 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

Dr. Robert J. Walat, MDNPI 1174724470

Title

Medical Director

Phone

(203) 776-0791

Specialties & licenses 1

Addresses

Other names 1

• Ikonisys Clinical Laboratories Doing business as

Practitioners 1

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.

• Robert J Walat, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • New Haven, CT
  • NPI 1174724470
  NPD (past) Authorized official

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

{
    "created_epoch": "1196294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207612800000",
    "number": "1932381159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 SCIENCE PARK",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065111966",
            "telephone_number": "203-776-0791",
            "fax_number": "203-776-0795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 SCIENCE PARK",
            "city": "NEW HAVEN",
            "state": "CT",
            "postal_code": "065111966",
            "telephone_number": "203-776-0791",
            "fax_number": "203-776-0795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IKONISYS INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-29",
        "last_updated": "2008-04-08",
        "status": "A",
        "authorized_official_last_name": "WALAT",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "203-776-0791",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ikonisys Clinical Laboratories",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ijoma Okwuosa
• Elizabeth Anne Ike, DDS
• Ian Ikeda
• Margaret Kiyo Ikeda, M.D.
• Humaira Ikhlaq-Rosinski, DDS,BDS
• Jessica Lee Illuzzi, MD
• Suguru Imaeda, MD
• Michael A Imevbore, M.D.
• Olutayo Temitope Imevbore, M.D.
• Joseph Salvatore Impellizeri, MSN, PMHNP, APRN

• Clinical Medical Laboratory in New Haven, CT
• Providers in New Haven, CT by specialty
• Clinical Medical Laboratory in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2008; 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.