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 1649998709

Tellica Imaging, LLC is a Radiology Clinic/Center in Salt Lake City, 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.

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Practice location Address checks out

2645 E Parleys Way
Salt Lake City, UT 84109-1636
Phone: (801) 442-5737
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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 number1649998709
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationIntermountain Healthcare
Authorized official Nannette Berensen — Ceo · (801) 507-8002
NPI enumeratedAugust 16, 2022
Last updated in NPPESFebruary 7, 2023
Certification dateFebruary 7, 2023
Mailing address36 S State St, Salt Lake City, UT 84111-1401

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