Tellica Imaging, LLC
Tellica Imaging, LLC is a Diagnostic Radiology Physician in Boise, Idaho. Registered with an NPI since 2023.
- In the registry since
- 2023
- 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
8505 W Overland RdBoise, ID 83709-1644
Phone: (208) 417-5100
Fax: (208) 417-5105
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
| Radiology Clinic/Center (primary) | Taxonomy 261QR0200X |
|---|---|
| Diagnostic Radiology Physician | Taxonomy 2085R0202X |
Record details
| NPI number | 1760197198 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Intermountain Healthcare |
| Authorized official | Mark Vawdrey — Cfo · (801) 718-1642 |
| NPI enumerated | January 19, 2023 |
| Last updated in NPPES | November 20, 2023 |
| Certification date | November 20, 2023 |
| Mailing address | 36 S State St Ste 2200, Salt Lake City, UT 84111-1470 |
Other providers in Boise
-
Mr. Jesse W Spinner, MD
1055 N Curtis Rd, Boise, ID 83706-1309 · (208) 367-2121
-
Bertram J Stemmler, MD
1055 N Curtis Rd, Boise, ID 83706-1309 · (208) 367-2161
-
Dr. Richard Lee Sullivan, MD
500 W Fort St, Boise, ID 83702-4501 · (208) 422-1350
-
William L Taylor, MD
1055 N Curtis Rd, Boise, ID 83706-1309 · (208) 367-2161
-
John S Waltz, MD
190 E Bannock St, Boise, ID 83712-6241 · (208) 381-2094
-
Daniel J Wegner, MD
1055 N Curtis Rd, Boise, ID 83706-1309 · (208) 367-2161
-
Stephen Patrick Winter, MD
1055 N Curtis Rd, Boise, ID 83706-1309 · (208) 367-2121
-
Jesse Winton, MD
1055 N Curtis Rd, Boise, ID 83706-1309 · (208) 367-2121