Tellica Imaging, LLC

NPI #1508448291 in Orem, Utah

Provider Information

NPI Number
1508448291
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
Jan 4, 2023

Practice Location

Address
256 E UNIVERSITY PKWY
City
Orem
State
Utah
ZIP Code
84058-7601
Phone
(801) 442-5737

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Clinic/Center - RadiologyRadiology
Physiological Laboratory

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