Tellica Imaging, LLC
Clinic/Center, Radiology in Salt Lake City, Utah
1063256709- Practice location
- 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103
- Phone
- 208-417-5100
- Fax
- —
- Last updated
- June 19, 2024
Tellica Imaging, LLC is a healthcare organization based in Salt Lake City, UT. Tellica Imaging, LLC practices in Salt Lake City, UT. The NPI Number for Tellica Imaging, LLC is 1063256709. The current practice location address for Tellica Imaging, LLC is 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103 and can be reached out via phone at 208-417-5100.
Provider Profile Details
- NPI Number
- 1063256709
- Provider Name
- Tellica Imaging, LLC
- Provider Entity Type
- Organization
- Address
- 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103
- Phone Number
- 208-417-5100
- Primary Taxonomy
- Clinic/Center, Radiology · 261QR0200X
- Organization Subpart
- No
- Authorized Official
- Brad Isaacson · President · 801-442-5737
- Provider Enumeration Date
- June 19, 2024
- Last Update Date
- June 19, 2024
- Certification Date
- June 19, 2024
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 100 N Mario Capecchi Dr
Salt Lake City, UT 84113-1103 - City
- Salt Lake City
- State
- Utah
- Zip
- 84113-1103
- Phone Number
- 208-417-5100
Provider Business Mailing Address Details
- Address
- 36 S State St
Salt Lake City, UT 84111-1401 - City
- Salt Lake City
- State
- UT
- Zip
- 84111-1401
License Information
- Taxonomy (1)
- Radiology, Diagnostic Radiology · 2085R0202X
- Taxonomy (2)
- Clinic/Center, Radiology · 261QR0200X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Clinic/Center, Radiology providers near Salt Lake City, UT
View all Clinic/Center, Radiology providers in Salt Lake City →- Mr. Ilsley B Colton, MDFamily Medicine · NPI 1063943116
- Dr. Matthew Lunati, MDOrthopaedic Surgery, Orthopaedic Surgery of the Spine · NPI 1093248221
- Dr. Rachael Clark, MDObstetrics & Gynecology, Complex Family Planning · NPI 1235870460
- Marjory A Bravard, MDHospitalist · NPI 1023338498
- Adam F Eddington, MDAnesthesiology, Pain Medicine · NPI 1538746722
- Dr. Akshay R Krishnan, MDOrthopaedic Surgery, Hand Surgery · NPI 1326509589
Frequently Asked Questions
What is the NPI number of Tellica Imaging, LLC?
The NPI number of Tellica Imaging, LLC is 1063256709. It was assigned on June 19, 2024 and is currently active in the NPPES registry.
What is the specialty of Tellica Imaging, LLC?
Tellica Imaging, LLC is registered under the primary taxonomy Clinic/Center, Radiology (code 261QR0200X).
Where does Tellica Imaging, LLC practice?
The practice location is 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103. The office can be reached at 208-417-5100 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1063256709 directly on the NPPES registry website.