Organization · Type 2 NPI

Tellica Imaging, LLC

Physiological Laboratory · West Valley City, UT

NPI number 1407438039 Active

Practice location

4587 S 4000 W
West Valley City, UT 84120-6317

Mailing address

36 S State St
Salt Lake City, UT 84111-1401

Specialties and licenses

TaxonomyCodeLicense
Radiology Clinic/Center 261QR0200XNone listed
Physiological Laboratory Primary 293D00000XNone 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…

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About NPI 1407438039

Tellica Imaging, LLC's National Provider Identifier is 1407438039, issued on Apr 23, 2021. The primary taxonomy on file is Physiological Laboratory (293D00000X), and the practice location is in West Valley City, UT. The record was last updated on Jan 4, 2023.