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Tellica Imaging, Llc
Physiological Laboratory in Bountiful, Utah
NPI 1205554367

Tellica Imaging, Llc is a Physiological Laboratory based in Salt Lake City, UT. Tellica Imaging, Llc practices in Bountiful, UT. The NPI Number for Tellica Imaging, Llc is 1205554367 and holds a License No. (Utah).

The current practice location address for Tellica Imaging, Llc is 110 N Main St, Bountiful, UT and can be reached out via phone at 801-442-5737.

Location: 110 N Main St, Bountiful, UT, 84111-1401
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1205554367
Provider Name
Tellica Imaging, Llc
Credential
Provider Entity Type
Organization
Address
110 N Main St, Bountiful, UT, 84111-1401
Phone Number
801-442-5737
Fax Number
Provider Enumeration Date
08/16/2022
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
110 N Main St
City
Bountiful
State
Utah
Zip
84010-6134
Phone Number
801-442-5737
Fax Number
person
Provider Business Mailing Address Details
Address
110 N Main St
City
Bountiful
State
Utah
Zip
84010-6134
Phone Number
801-442-5737
Fax Number
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Radiology
Taxonomy
261QR0200X
License No.
()
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Laboratories
Classification
Physiological Laboratory
Speciality
-
Taxonomy
293D00000X
License No.
()
Definition
A laboratory that operates independently of a hospital and physician's office to furnish physiological diagnostic services (e.g. EEG's , EKG's, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services.
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