OrganizationActive
Tellica Imaging, LLC
NPI 1003510322 · Radiology Clinic/Center · Nashua, NH
Provider details
- NPI number
- 1003510322
- Entity type
- Organization
- Primary specialty
- Radiology Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Intermountain Healthcare
- Authorized official
- Mark Vawdrey, Chief Financial Officer
Mailing address
36 S State St Ste 2200
Salt Lake City, UT 84111-1470
Registry dates
- Enumerated
- 2023-03-29
- Last updated
- 2024-04-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.