Tellica Imaging, LLC
Tellica Imaging, LLC is a Radiology Clinic/Center in Bountiful, Utah. Registered with an NPI since 2022.
- In the registry since
- 2022
- Specialties on file
- 2
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
110 N Main StBountiful, UT 84010-6134
Phone: (801) 442-5737
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physiological Laboratory (primary) | Taxonomy 293D00000X |
|---|---|
| Radiology Clinic/Center | Taxonomy 261QR0200X |
Record details
| NPI number | 1205554367 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Intermountain Healthcare |
| Authorized official | Nannette Berensen — Ceo · (801) 507-8002 |
| NPI enumerated | August 16, 2022 |
| Last updated in NPPES | February 7, 2023 |
| Certification date | February 7, 2023 |
| Mailing address | 36 S State St, Salt Lake City, UT 84111-1401 |