Tellica Imaging, Llc

LBN: Tellica Imaging, Llc
Tellica Imaging, Llc is an health care organization with primary practice located at 110 N Main St , Bountiful UT 84010-6134. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Radiology, Laboratories / Physiological Laboratory. Laboratories / Physiological Laboratory is the primary health care specialty. Tellica Imaging, Llc can be contacted via phone (801) 442-5737, or through Berensen, Nannette Mignon via phone (801) 507-8002.

Contact Information

Primary practice address
110 N Main St Bountiful UT 84010-6134
Phone: (801) 442-5737
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Berensen, Nannette Mignon
Phone: (801) 507-8002

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Radiology 261QR0200X
Laboratories / Physiological Laboratory 293D00000X

Profile Details

NPI number 1205554367
LBN Legal business name Tellica Imaging, Llc
DBA Doing business as
Authorized official Berensen, Nannette Mignon
Entity Organization
Organization subpart 1 Yes
Enumeration date Aug 16th, 2022
Last updated Feb 7th, 2023 - 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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