Tellica Imaging, Llc

LBN: Tellica Imaging, Llc
Tellica Imaging, Llc is an health care organization with primary practice located at 692 East Market Place Drive , Spanish Fork UT 84660. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Radiology, Laboratories / Physiological Laboratory. Laboratories / Physiological Laboratory is the primary health care specialty. Tellica Imaging, Llc can be contacted via phone (610) 772-7252, or through Isaacson, Brad via phone (610) 772-7252.

Contact Information

Primary practice address
692 East Market Place Drive Spanish Fork UT 84660
Phone: (610) 772-7252
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Isaacson, Brad
Phone: (610) 772-7252

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Radiology 261QR0200X
Laboratories / Physiological Laboratory 293D00000X

Profile Details

NPI number 1518727734
LBN Legal business name Tellica Imaging, Llc
DBA Doing business as
Authorized official Isaacson, Brad
Entity Organization
Organization subpart 1 No
Enumeration date Mar 22nd, 2024
Last updated Mar 22nd, 2024 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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