Tellica Imaging, LLC
NPI #1518727734 in Spanish Fork, Utah
Provider Information
- NPI Number
- 1518727734
- Entity Type
- Organization
- Organization Name
- Tellica Imaging, LLC
- Primary Specialty
- Physiological Laboratory
- Enumeration Date
- Mar 22, 2024
- Last Updated
- Aug 27, 2025
Practice Location
- Address
- 692 EAST MARKET PLACE DRIVE
- City
- Spanish Fork
- State
- Utah
- ZIP Code
- 84660
- Phone
- (610) 772-7252
Authorized Official
- Name
- BRAD ISAACSON
- Title
- PRESIDENT
- Phone
- (151) 872-7734
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Radiology — Radiology |
| Physiological Laboratory |
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