Tellica Imaging, LLC
NPI #1407438039 in West Valley City, Utah
Provider Information
- NPI Number
- 1407438039
- 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 23, 2021
- Last Updated
- Jan 4, 2023
Practice Location
- Address
- 4587 S 4000 W
- City
- West Valley City
- State
- Utah
- ZIP Code
- 84120-6317
- Phone
- (801) 442-5737
Authorized Official
- Name
- BRAD ISAACSON, PHD
- Title
- COO
- Phone
- (801) 442-5737
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Radiology — Radiology |
| Physiological Laboratory |
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