Tellica Imaging, Llc

LBN: Tellica Imaging, Llc
Tellica Imaging, Llc is an health care organization with primary practice located at 100 N Mario Capecchi Dr , Salt Lake City UT 84113-1103. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Ambulatory Health Care Facilities / Radiology. Ambulatory Health Care Facilities / Radiology is the primary health care specialty. Tellica Imaging, Llc can be contacted via phone (208) 417-5100, or through Isaacson, Brad via phone (801) 442-5737.

Contact Information

Primary practice address
100 N Mario Capecchi Dr Salt Lake City UT 84113-1103
Phone: (208) 417-5100
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Isaacson, Brad
Phone: (801) 442-5737

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X
Ambulatory Health Care Facilities / Radiology 261QR0200X

Profile Details

NPI number 1063256709
LBN Legal business name Tellica Imaging, Llc
DBA Doing business as
Authorized official Isaacson, Brad
Entity Organization
Organization subpart 1 No
Enumeration date Jun 19th, 2024
Last updated Jun 19th, 2024 - about last year

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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