Tellica Imaging, LLC
NPI 1063256709 · Radiology Clinic/Center · Salt Lake City, UT
Tellica Imaging, LLC is a Radiology Clinic/Center organization in Salt Lake City, UT (NPI 1063256709).
Provider details
- NPI number
- 1063256709
- Entity type
- Organization
- Primary specialty
- Radiology Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Brad Isaacson, President(801) 442-5737
Specialties & taxonomies
Ambulatory Health Care Facilities
- Diagnostic Radiology Physician2085R0202X
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
2 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
5 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (4)
- 8505 W Overland RdBoise, ID 83709-1644Phone: (208) 417-5100
- 1100 Bicentennial DrManchester, NH 03104-2173Phone: (603) 782-4303
- 345 Amherst St Ste 3Nashua, NH 03063-1754Phone: (603) 318-3355
- 5217 S State St Ste 200Murray, UT 84107-4812Phone: (208) 417-5100
Registry dates
- Enumerated
- 2024-06-19
- Last updated
- 2024-06-19
- Certified
- 2024-06-19
Frequently asked questions
- What is Tellica Imaging, LLC's NPI number?
- Tellica Imaging, LLC's National Provider Identifier (NPI) is 1063256709, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Tellica Imaging, LLC?
- Tellica Imaging, LLC is classified in the NPPES registry as Radiology Clinic/Center (Ambulatory Health Care Facilities).
- Where is Tellica Imaging, LLC located?
- Tellica Imaging, LLC's practice location on file with NPPES is 100 N Mario Capecchi Dr, Salt Lake City, UT 84113-1103.
- What is Tellica Imaging, LLC's phone number?
- The practice phone number listed in the NPPES registry for Tellica Imaging, LLC is (208) 417-5100.
- Who is the authorized official for Tellica Imaging, LLC?
- The authorized official listed on Tellica Imaging, LLC's NPPES record is Brad Isaacson, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Tellica Imaging, LLC's NPI active?
- Yes — Tellica Imaging, LLC's NPI (1063256709) is active in the NPPES registry as of the last update on 2024-06-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.