Organization · Type 2 NPI
Tellica Imaging, LLC
Radiology Clinic/Center · Manchester, NH
NPI number
1457055774
Active
Practice location
1100 Bicentennial Dr Ste 3B
Manchester, NH 03104-2173
Mailing address
36 S State St Ste 2200
Salt Lake City, UT 84111-1470
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | None listed |
| Radiology Clinic/Center Primary | 261QR0200X | None listed |
Radiology Clinic/Center: Definition to come...
About NPI 1457055774
Tellica Imaging, LLC's National Provider Identifier is 1457055774, issued on Mar 29, 2023. The primary taxonomy on file is Radiology Clinic/Center (261QR0200X), and the practice location is in Manchester, NH. The record was last updated on Aug 27, 2025.