Organization · Type 2 NPI
Tellica Imaging, LLC
Physiological Laboratory · Bountiful, UT
Practice location
110 N Main St
Bountiful, UT 84010-6134
Mailing address
36 S State St
Salt Lake City, UT 84111-1401
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Radiology Clinic/Center | 261QR0200X | None listed |
| Physiological Laboratory Primary | 293D00000X | None listed |
Physiological Laboratory: A laboratory that operates independently of a hospital and physician's office to furnish physiological diagnostic services (e.g. EEG's , EKG's, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical labora…
About NPI 1205554367
Tellica Imaging, LLC's National Provider Identifier is 1205554367, issued on Aug 16, 2022. The primary taxonomy on file is Physiological Laboratory (293D00000X), and the practice location is in Bountiful, UT. The record was last updated on Feb 7, 2023.