1. Home
  2. Directory
  3. Washington
  4. Tacoma
  5. Clinic Center
  6. NPI Profile

TELLICA IMAGING - WASHINGTON LLC
NPI 1346093150
Clinic/Center - Radiology in Tacoma, WA

Active since April 10, 2024CLIA Certified · 2 labs
2941 S 38TH ST STE E, TACOMA, WA 98409(253) 534-8689(253) 617-1296 Get Directions Write a Review

NPPES record last updated: January 26, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 26, 2026, Sep 3, 2024, Jul 13, 2024 and 1 more (4 updates tracked since 2024).

About Tellica Imaging - Washington Llc NPPES

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

TELLICA IMAGING - WASHINGTON LLC (NPI 1346093150) is a healthcare organization registered as a radiology in Tacoma, Washington and active in the NPI registry since April 2024. The organization holds 2 active CLIA laboratory certificates, maintains a secondary practice location in Bremerton, and lists Brad Isaacson, President, as its authorized official.

NPPES Registry Identity

NPI1346093150
Entity TypeOrganization
Primary Taxonomy261QR0200X
Legal Business NameTELLICA IMAGING - WASHINGTON LLC
Location Address2941 S 38TH ST STE ETacoma, WA 98409-5647
Mailing Address36 S State StSalt Lake City, UT 84111-1401
Phone(253) 534-8689
Fax(253) 617-1296
Organization SubpartNo
Authorized OfficialBrad IsaacsonPresident · (801) 442-6000
Enumeration DateApril 10, 2024
Last NPPES UpdateJanuary 26, 20264 updates tracked since enumeration
NPPES CertifiedJanuary 26, 2026
✔ NPI 1346093150 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
2941 S 38TH ST STE E, Tacoma, WA 98409
Open in Google Maps ↗

Secondary Practice Location 1

Location 14207 Wheaton Way Ste AbBremerton, WA 98310-3605 · Phone (360) 824-3570 · Fax (253) 617-1296

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 2

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 50D2329318

Tellica Imaging - Washington LLC · Tacoma, WA
Active · expires Apr 4, 2028
CLIA Number50D2329318
Laboratory TypeDiagnostic Imaging Fac
Certificate Effective DateAugust 26, 2025
Certificate Expiration DateApril 4, 2028
Laboratory DirectorAustin Thornhill
Laboratory Phone(253) 534-8688
Laboratory LocationTellica Imaging - Washington LLC2941 S 38th Street, Ste E, Tacoma, WA 98409
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 50D2329303

Tellica Imaging - Washington LLC · Tacoma, WA
Active · expires Apr 4, 2028
CLIA Number50D2329303
Laboratory TypeDiagnostic Imaging Fac
Certificate Effective DateAugust 26, 2025
Certificate Expiration DateApril 4, 2028
Laboratory DirectorAustin Thornhill
Laboratory Phone(253) 534-8688
Laboratory LocationTellica Imaging - Washington LLC4207 Wheaton Way Ste A/B, Tacoma, WA 98409
CLIA data matches this NPI record on: 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 1346093150. It was assigned to this organization in the NPPES registry on April 10, 2024.

Where is Tellica Imaging - Washington LLC located?

Tellica Imaging - Washington LLC is located at 2941 S 38th St Ste E, Tacoma, WA 98409. The listed phone number is (253) 534-8689.

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 CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Tellica Imaging - Washington LLC was last updated on January 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.