Tellica Imaging, Llc

LBN: Tellica Imaging, Llc
Tellica Imaging, Llc is an health care organization with primary practice located at 4587 S 4000 W , West Valley City UT 84120-6317. 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 Isaacson, Brad via phone (801) 442-5737.

Contact Information

Primary practice address
4587 S 4000 W West Valley City UT 84120-6317
Phone: (801) 442-5737
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Isaacson, Brad PHD
Phone: (801) 442-5737

Health care specialties

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

Profile Details

NPI number 1407438039
LBN Legal business name Tellica Imaging, Llc
DBA Doing business as
Authorized official Isaacson, Brad PHD
Entity Organization
Organization subpart 1 Yes
Enumeration date Apr 23rd, 2021
Last updated Jan 4th, 2023 - about 2 years ago

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.

Request for update

Popular Providers