Organization · Type 2 NPI

Tellica Imaging, LLC

Physiological Laboratory · Salt Lake City, UT

NPI number 1649998709 Active

Practice location

2645 E Parleys Way
Salt Lake City, UT 84109-1636

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…

Another provider at this address

Other physiological laboratory providers in Salt Lake City

See all in Salt Lake City →

About NPI 1649998709

Tellica Imaging, LLC's National Provider Identifier is 1649998709, issued on Aug 16, 2022. The primary taxonomy on file is Physiological Laboratory (293D00000X), and the practice location is in Salt Lake City, UT. The record was last updated on Feb 7, 2023.