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Tellica Imaging, Llc
Physiological Laboratory in West Valley City, Utah
NPI 1407438039

Tellica Imaging, Llc is a Physiological Laboratory based in Salt Lake City, UT. Tellica Imaging, Llc practices in West Valley City, UT. The NPI Number for Tellica Imaging, Llc is 1407438039 and holds a License No. (Utah).

The current practice location address for Tellica Imaging, Llc is 4587 S 4000 W, West Valley City, UT and can be reached out via phone at 801-442-5737.

Location: 4587 S 4000 W, West Valley City, UT, 84111-1401
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1407438039
Provider Name
Tellica Imaging, Llc
Credential
Provider Entity Type
Organization
Address
4587 S 4000 W, West Valley City, UT, 84111-1401
Phone Number
801-442-5737
Fax Number
Provider Enumeration Date
04/23/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
4587 S 4000 W
City
West Valley City
State
Utah
Zip
84120-6317
Phone Number
801-442-5737
Fax Number
person
Provider Business Mailing Address Details
Address
4587 S 4000 W
City
West Valley City
State
Utah
Zip
84120-6317
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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