Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Tellica Imaging, LLC

Organization Diagnostic Radiology Physician · NPI 1063256709

Tellica Imaging, LLC is a Diagnostic Radiology Physician in Salt Lake City, Utah. Works from 5 locations. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

100 N Mario Capecchi Dr
Salt Lake City, UT 84113-1103
Phone: (208) 417-5100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (4)

  • 8505 W Overland Rd, Boise, ID 83709-1644 — (208) 417-5100
  • 1100 Bicentennial Dr, Manchester, NH 03104-2173 — (603) 782-4303
  • 345 Amherst St Ste 3, Nashua, NH 03063-1754 — (603) 318-3355
  • 5217 S State St Ste 200, Murray, UT 84107-4812 — (208) 417-5100

Specialties & licences

Radiology Clinic/Center (primary) Taxonomy 261QR0200X
Diagnostic Radiology Physician Taxonomy 2085R0202X

Record details

NPI number1063256709
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Brad Isaacson — President · (801) 442-5737
NPI enumeratedJune 19, 2024
Last updated in NPPESJune 19, 2024
Certification dateJune 19, 2024
Mailing address36 S State St, Salt Lake City, UT 84111-1401

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