Tellica Imaging, LLC

NPI #1144802802 in Ogden, Utah

Provider Information

NPI Number
1144802802
Entity Type
Organization
Organization Name
Tellica Imaging, LLC
Subpart
Yes (part of a larger organization)
Parent Organization
INTERMOUNTAIN HEALTHCARE
Primary Specialty
Physiological Laboratory
Enumeration Date
Apr 22, 2021
Last Updated
Mar 22, 2024

Practice Location

Address
1028 CHAMBERS ST
City
Ogden
State
Utah
ZIP Code
84403-5181
Phone
(801) 442-5737

Authorized Official

Name
BRAD ISAACSON, PHD
Title
PRESIDENT
Phone
(801) 442-5737

Specialties & Taxonomy Codes

Specialty
Clinic/Center - RadiologyRadiology
Physiological Laboratory

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