Tellica Imaging, LLC
NPI #1760197198 in Boise, Idaho
Provider Information
- NPI Number
- 1760197198
- Entity Type
- Organization
- Organization Name
- Tellica Imaging, LLC
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- INTERMOUNTAIN HEALTHCARE
- Primary Specialty
- Clinic/Center - Radiology
- Enumeration Date
- Jan 19, 2023
- Last Updated
- Nov 20, 2023
Practice Location
Authorized Official
- Name
- MARK L VAWDREY
- Title
- CFO
- Phone
- (801) 718-1642
Specialties & Taxonomy Codes
| Specialty |
|---|
| Radiology - Diagnostic Radiology — Diagnostic Radiology |
| Clinic/Center - Radiology — Radiology |
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