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TELLICA IMAGING, LLC
NPI 1508448291
Physiological Laboratory in Orem, UT

Active since April 22, 2021
256 E UNIVERSITY PKWY, OREM, UT 84058(801) 442-5737 Get Directions Write a Review

NPPES record last updated: January 4, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jan 4, 2023, Apr 22, 2021 (2 updates tracked since 2021).

About Tellica Imaging, Llc NPPES

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

TELLICA IMAGING, LLC (NPI 1508448291) is a healthcare organization registered as a physiological laboratory in Orem, Utah and active in the NPI registry since April 2021. The organization lists Brad Isaacson, Coo, as its authorized official.

NPPES Registry Identity

NPI1508448291
Entity TypeOrganization
Primary Taxonomy293D00000X
Legal Business NameTELLICA IMAGING, LLC
Location Address256 E UNIVERSITY PKWYOrem, UT 84058-7601
Mailing Address36 S State StSalt Lake City, UT 84111-1401
Phone(801) 442-5737
Organization SubpartYesParent: Intermountain Healthcare
Authorized OfficialBrad IsaacsonCoo · (801) 442-5737
Enumeration DateApril 22, 2021
Last NPPES UpdateJanuary 4, 20232 updates tracked since enumeration
NPPES CertifiedJanuary 4, 2023
✔ NPI 1508448291 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysiological LaboratoryLaboratories
Taxonomy Code293D00000X
Definition

A laboratory that operates independently of a hospital and physician's office to furnish physiological diagnostic services (e.g. EEG's , EKG's, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services.

Also ListedClinic/Center · RadiologyTaxonomy 261QR0200X
256 E UNIVERSITY PKWY, Orem, UT 84058
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Frequently Asked Questions

What is TELLICA IMAGING, LLC's NPI number?

The NPI number assigned to this healthcare provider is 1508448291, enumerated as an "organization" on April 22, 2021.

Where is the provider located?

The provider is located at 256 E UNIVERSITY PKWY OREM, UT 84058 and the phone number is (801) 442-5737.

What is the provider's specialty?

Physiological Laboratory with taxonomy code 293D00000X.