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

Tellica Imaging, LLC

Organization Radiology Clinic/Center · NPI 1407438039

Tellica Imaging, LLC is a Radiology Clinic/Center in West Valley City, Utah. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

4587 S 4000 W
West Valley City, UT 84120-6317
Phone: (801) 442-5737
Show map & directions

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 number1407438039
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationIntermountain Healthcare
Authorized official Brad Isaacson — Coo · (801) 442-5737
NPI enumeratedApril 23, 2021
Last updated in NPPESJanuary 4, 2023
Certification dateJanuary 4, 2023
Mailing address36 S State St, Salt Lake City, UT 84111-1401