Tellica Imaging, LLC
Clinic/Center, Radiology in Manchester, New Hampshire
1457055774- Practice location
- 1100 Bicentennial Dr Ste 3B, Manchester, NH 03104-2173
- Phone
- 603-292-3491
- Fax
- —
- Last updated
- August 27, 2025
Tellica Imaging, LLC is a healthcare organization based in Manchester, NH. Tellica Imaging, LLC practices in Manchester, NH. The NPI Number for Tellica Imaging, LLC is 1457055774. The current practice location address for Tellica Imaging, LLC is 1100 Bicentennial Dr Ste 3B, Manchester, NH 03104-2173 and can be reached out via phone at 603-292-3491.
Provider Profile Details
- NPI Number
- 1457055774
- Provider Name
- Tellica Imaging, LLC
- Provider Entity Type
- Organization
- Address
- 1100 Bicentennial Dr Ste 3B, Manchester, NH 03104-2173
- Phone Number
- 603-292-3491
- Primary Taxonomy
- Clinic/Center, Radiology · 261QR0200X
- Organization Subpart
- Yes
- Parent Organization
- Intermountain Healthcare
- Authorized Official
- Mark Vawdrey · Chief Financial Officer · 801-718-1642
- Provider Enumeration Date
- March 29, 2023
- Last Update Date
- August 27, 2025
- Certification Date
- August 27, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1100 Bicentennial Dr Ste 3B
Manchester, NH 03104-2173 - City
- Manchester
- State
- New Hampshire
- Zip
- 03104-2173
- Phone Number
- 603-292-3491
Provider Business Mailing Address Details
- Address
- 36 S State St Ste 2200
Salt Lake City, UT 84111-1470 - City
- Salt Lake City
- State
- UT
- Zip
- 84111-1470
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. | |||
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Frequently Asked Questions
What is the NPI number of Tellica Imaging, LLC?
The NPI number of Tellica Imaging, LLC is 1457055774. It was assigned on March 29, 2023 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 1100 Bicentennial Dr Ste 3B, Manchester, NH 03104-2173. The office can be reached at 603-292-3491 (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 1457055774 directly on the NPPES registry website.