TELLICA IMAGING - WASHINGTON LLC
NPI 1215887401
Clinic/Center - Radiology in Auburn, WA

Q: What is Tellica Imaging - Washington LLC's NPI number?

The NPI number for Tellica Imaging - Washington LLC is 1215887401. It was assigned to this organization in the NPPES registry on January 29, 2026.

Q: What is Tellica Imaging - Washington LLC's specialty?

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

Active since January 29, 2026CLIA 50D2329104 · Waiver

421 EAST MAIN STREET, AUBURN, WA 98002(253) 204-2530(253) 617-1296 Get Directions Write a Review

NPPES record last updated: January 29, 2026. Verified against the NPPES registry weekly; last sync: September 13, 2026.

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About Tellica Imaging - Washington Llc NPPES

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

TELLICA IMAGING - WASHINGTON LLC (NPI 1215887401) is a healthcare organization registered as a radiology in Auburn, Washington and active in the NPI registry since January 2026. The organization holds a CLIA Waiver certificate valid through April 4, 2028 and lists Brad Isaacson, President, as its authorized official.

NPPES Registry Identity

NPI1215887401

Entity TypeOrganization

Primary Taxonomy261QR0200X

Legal Business NameTELLICA IMAGING - WASHINGTON LLC

Location Address421 EAST MAIN STREETAuburn, WA 98002

Mailing Address36 S State StSalt Lake City, UT 84111-1401

Phone(253) 204-2530

Fax(253) 617-1296

Organization SubpartNo

Authorized OfficialBrad IsaacsonPresident · (801) 442-6000

Enumeration DateJanuary 29, 2026

NPPES CertifiedJanuary 26, 2026

✔ NPI 1215887401 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

421 EAST MAIN STREET, Auburn, WA 98002

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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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 50D2329104

Tellica Imaging - Washington LLC · Auburn, WA

Active · expires Apr 4, 2028

CLIA Number50D2329104

Laboratory TypeDiagnostic Imaging Fac

Certificate Effective DateAugust 21, 2025

Certificate Expiration DateApril 4, 2028

Laboratory DirectorAustin Thornhill

Laboratory Phone(253) 534-8688

Laboratory LocationTellica Imaging - Washington LLC421 E Main Street, Auburn, WA 98002

CLIA data matches this NPI record on: Address Name

This certificate is issued to a laboratory to perform only waived tests.

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 - Washington LLC's NPI number?

The NPI number for Tellica Imaging - Washington LLC is 1215887401. It was assigned to this organization in the NPPES registry on January 29, 2026.

Where is Tellica Imaging - Washington LLC located?

Tellica Imaging - Washington LLC is located at 421 East Main Street, Auburn, WA 98002. The listed phone number is (253) 204-2530.

What is Tellica Imaging - Washington LLC's specialty?

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

Does Tellica Imaging - Washington LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 50D2329104) is associated with this NPI, valid through April 4, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Tellica Imaging - Washington LLC was last updated on January 29, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.