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TELLICA IMAGING, LLC
NPI 1457055774
Clinic/Center - Radiology in Manchester, NH

Active since March 29, 2023
1100 BICENTENNIAL DR STE 3B, MANCHESTER, NH 03104(603) 292-3491 Get Directions Write a Review

NPPES record last updated: August 27, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Tellica Imaging, Llc NPPES

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

TELLICA IMAGING, LLC (NPI 1457055774) is a healthcare organization registered as a radiology in Manchester, New Hampshire and active in the NPI registry since March 2023. The organization lists Mark Vawdrey, Chief Financial Officer, as its authorized official.

NPPES Registry Identity

NPI1457055774
Entity TypeOrganization
Primary Taxonomy261QR0200X
Legal Business NameTELLICA IMAGING, LLC
Location Address1100 BICENTENNIAL DR STE 3BManchester, NH 03104-2173
Mailing Address36 S State St Ste 2200Salt Lake City, UT 84111-1470
Phone(603) 292-3491
Organization SubpartYesParent: Intermountain Healthcare
Authorized OfficialMark VawdreyChief Financial Officer · (801) 718-1642
Enumeration DateMarch 29, 2023
Last NPPES UpdateAugust 27, 2025
NPPES CertifiedAugust 27, 2025
✔ NPI 1457055774 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
1100 BICENTENNIAL DR STE 3B, Manchester, NH 03104
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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

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 1457055774. 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 1100 Bicentennial Dr Ste 3B, Manchester, NH 03104. The listed phone number is (603) 292-3491.

What is Tellica Imaging, LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Tellica Imaging, LLC was last updated on August 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.