Organization · Type 2 NPI
Tellica Imaging, LLC
Radiology Clinic/Center · Boise, ID
NPI number
1760197198
Active
Practice location
8505 W Overland Rd
Boise, ID 83709-1644
Fax (208) 417-5105
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...
2 other providers at this address
Other radiology clinic/center providers in Boise
About NPI 1760197198
Tellica Imaging, LLC's National Provider Identifier is 1760197198, issued on Jan 19, 2023. The primary taxonomy on file is Radiology Clinic/Center (261QR0200X), and the practice location is in Boise, ID. The record was last updated on Nov 20, 2023.