TELLICA IMAGING, LLC
NPI 1518727734
Physiological Laboratory in Spanish Fork, UT

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

The NPI number for Tellica Imaging, LLC is 1518727734. It was assigned to this organization in the NPPES registry on March 22, 2024.

Q: What is Tellica Imaging, LLC's specialty?

The primary specialty registered for this NPI is Physiological Laboratory with taxonomy code 293D00000X.

Active since March 22, 2024

692 EAST MARKET PLACE DRIVE, SPANISH FORK, UT 84660(610) 772-7252 Get Directions Write a Review

NPPES record last updated: August 27, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

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About Tellica Imaging, Llc NPPES

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

TELLICA IMAGING, LLC (NPI 1518727734) is a healthcare organization registered as a physiological laboratory in Spanish Fork, Utah and active in the NPI registry since March 2024. The organization lists Brad Isaacson, President, as its authorized official.

NPPES Registry Identity

NPI1518727734

Entity TypeOrganization

Primary Taxonomy293D00000X

Legal Business NameTELLICA IMAGING, LLC

Location Address692 EAST MARKET PLACE DRIVESpanish Fork, UT 84660

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

Phone(610) 772-7252

Organization SubpartNo

Authorized OfficialBrad IsaacsonPresident · (151) 872-7734

Enumeration DateMarch 22, 2024

Last NPPES UpdateAugust 27, 2025

NPPES CertifiedAugust 27, 2025

✔ NPI 1518727734 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

692 EAST MARKET PLACE DRIVE, Spanish Fork, UT 84660

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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 1518727734. It was assigned to this organization in the NPPES registry on March 22, 2024.

Where is Tellica Imaging, LLC located?

Tellica Imaging, LLC is located at 692 East Market Place Drive, Spanish Fork, UT 84660. The listed phone number is (610) 772-7252.

What is Tellica Imaging, LLC's specialty?

The primary specialty registered for this NPI is Physiological Laboratory with taxonomy code 293D00000X.

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 14 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.