Tellica Imaging, Llc

LBN: Tellica Imaging, Llc
Tellica Imaging, Llc is an health care organization with primary practice located at 8505 W Overland Rd , Boise ID 83709-1644. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Diagnostic Radiology, Ambulatory Health Care Facilities / Radiology. Ambulatory Health Care Facilities / Radiology is the primary health care specialty. Tellica Imaging, Llc can be contacted via phone (208) 417-5100, or through Vawdrey, Mark L via phone (801) 718-1642.

Contact Information

Primary practice address
8505 W Overland Rd Boise ID 83709-1644
Phone: (208) 417-5100
Fax: (208) 417-5105
Website:
Map and Directions
Authorized official contact:
Name: Vawdrey, Mark L
Phone: (801) 718-1642

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Diagnostic Radiology 2085R0202X
Ambulatory Health Care Facilities / Radiology 261QR0200X

Profile Details

NPI number 1760197198
LBN Legal business name Tellica Imaging, Llc
DBA Doing business as
Authorized official Vawdrey, Mark L
Entity Organization
Organization subpart 1 Yes
Enumeration date Jan 19th, 2023
Last updated Nov 20th, 2023 - about 3 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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