TELLICA IMAGING, LLC
NPI 1003510322
Clinic/Center - Radiology in Nashua, NH

Active since March 29, 2023
345 AMHERST ST STE 3, NASHUA, NH 03063(603) 292-3006 Get Directions Write a Review

NPPES record last updated: April 11, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Apr 11, 2024, Mar 29, 2023 (2 updates tracked since 2023).

About Tellica Imaging, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

TELLICA IMAGING, LLC (NPI 1003510322) is a healthcare organization registered as a radiology in Nashua, New Hampshire and active in the NPI registry since March 2023. The organization maintains a secondary practice location in Manchester and lists Mark Vawdrey, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1003510322
Entity TypeOrganization
Primary Taxonomy261QR0200X
Legal Business NameTELLICA IMAGING, LLC
Location Address345 AMHERST ST STE 3Nashua, NH 03063-1754
Mailing Address36 S State St Ste 2200Salt Lake City, UT 84111-1470
Organization SubpartYesParent: Intermountain Healthcare
Authorized OfficialMark VawdreyChief Financial Officer · (801) 718-1642
Enumeration DateMarch 29, 2023
Last NPPES UpdateApril 11, 20242 updates tracked since enumeration
NPPES CertifiedApril 11, 2024
✔ NPI 1003510322 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · RadiologyAmbulatory Health Care Facilities
Taxonomy Code261QR0200X
Also ListedRadiology · Diagnostic RadiologyTaxonomy 2085R0202X
345 AMHERST ST STE 3, Nashua, NH 03063

Secondary Practice Location 1

Location 11100 Bicentennial DrManchester, NH 03104-2173 · Phone (610) 772-7252

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Tellica Imaging, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

117

Medicare enrollment records show 117 clinicians reassign Medicare billing to Tellica Imaging, LLC, which bills Medicare for the services they deliver. Of these, 1 practice within 10 miles. Listed here are the 20 practicing nearest to this location.

Clinicians by Medicare Specialty 4

Diagnostic Radiology105
Interventional Radiology8
Nuclear Medicine2
Nurse Practitioner2

Nearest to this location (20)

See all 117
Nurse Practitioner
NPI 1467175331
208 ROBINSON RD
Hudson, NH 03051
(603) 882-6700
✔ PECOS5.2 mi
Nurse Practitioner
NPI 1588065445
250 PLEASANT ST STE 6073
Concord, NH 03301
(603) 227-7000
✔ PECOS✔ Accepts Medicare29 mi
Interventional Radiology
NPI 1346687894
75 FRANCIS ST
Boston, MA 02115
(617) 732-5500
✔ PECOS✔ Accepts Medicare37 mi
Diagnostic Radiology
NPI 1457677007
3401 CIVIC BLVD DIVISION OF RADIOLOGY
Philadelphia, PA 19104
(800) 879-2467
✔ PECOS✔ Accepts Medicare274 mi
Diagnostic Radiology
NPI 1942663562
2301 ERWIN ROAD
Durham, NC 27710
(919) 684-7218
✔ PECOS✔ Accepts Medicare613 mi
Diagnostic Radiology
NPI 1891159273
2301 ERWIN RD
Durham, NC 27710
(919) 684-8111
✔ PECOS✔ Accepts Medicare613 mi
Diagnostic Radiology
NPI 1326297946
3333 BURNET AVE ML 5031
Cincinnati, OH 45229
(513) 636-4251
✔ PECOS✔ Accepts Medicare724 mi
Diagnostic Radiology
NPI 1255345823
2875 S 171ST ST
New Berlin, WI 53151
(262) 786-3107
✔ PECOS✔ Accepts Medicare843 mi
Diagnostic Radiology
NPI 1356847834
211 S HENRY ST UNIT 403
Madison, WI 53703
(662) 418-4076
✔ PECOS✔ Accepts Medicare906 mi
Diagnostic Radiology
NPI 1235249392
1575 N EAST EXPY NE
Brookhaven, GA 30329
(404) 785-1258
✔ PECOS929 mi
Diagnostic Radiology
NPI 1598296667
510 S KINGSHIGHWAY BLVD DEPT RADIOLOGY
Saint Louis, MO 63110
(314) 362-7200
✔ PECOS✔ Accepts Medicare1,023 mi
Interventional Radiology
NPI 1487004529
1034 N 500 W
Provo, UT 84604
(801) 357-4423
✔ PECOS✔ Accepts Medicare2,071 mi
Interventional Radiology
NPI 1023452737
5217 S STATE ST STE 200
Murray, UT 84107
(801) 313-4118
✔ PECOS✔ Accepts Medicare2,073 mi
Nuclear Medicine
NPI 1316473887
5217 S STATE ST STE 200
Murray, UT 84107
(801) 313-4118
✔ PECOS✔ Accepts Medicare2,073 mi
Nuclear Medicine
NPI 1770900672
5169 S COTTONWOOD ST
Murray, UT 84107
(801) 507-7000
✔ PECOS✔ Accepts Medicare2,073 mi
Interventional Radiology
NPI 1376035964
5295 S COMMERCE DR STE 550
Murray, UT 84107
(801) 313-4110
✔ PECOS✔ Accepts Medicare2,074 mi
Interventional Radiology
NPI 1508427469
5295 S COMMERCE DR STE 550
Murray, UT 84107
(801) 313-4110
✔ PECOS✔ Accepts Medicare2,074 mi
Interventional Radiology
NPI 1205156056
1380 E MEDICAL CENTER DR
St George, UT 84790
(801) 225-6246
✔ PECOS✔ Accepts Medicare2,244 mi
Interventional Radiology
NPI 1437598422
1308 E 900 S STE C
St George, UT 84790
(435) 673-2301
✔ PECOS✔ Accepts Medicare2,244 mi
Interventional Radiology
NPI 1922419290
350 W THOMAS RD
Phoenix, AZ 85013
(602) 406-6994
✔ PECOS✔ Accepts Medicare2,278 mi
See all 117 clinicians

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Tellica Imaging, LLC's NPI number?

The NPI number for Tellica Imaging, LLC is 1003510322. It was assigned to this organization in the NPPES registry on March 29, 2023.

Where is Tellica Imaging, LLC located?

Tellica Imaging, LLC is located at 345 Amherst St Ste 3, Nashua, NH 03063. The listed phone number is (603) 292-3006.

What is Tellica Imaging, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Radiology, with taxonomy code 261QR0200X.

Is Tellica Imaging, LLC enrolled in Medicare?

Yes. Tellica Imaging, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Tellica Imaging, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 117 clinicians in 4 Medicare specialties reassign their Medicare billing to Tellica Imaging, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Diagnostic Radiology (105), Interventional Radiology (8) and Nuclear Medicine (2). Of these, 1 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Tellica Imaging, LLC was last updated on April 11, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.