Tellica Imaging, LLC
NPI 1144802802 · Physiological Laboratory · Ogden, UT
Enrolled with Medicare as Part B Supplier - Independent Diagnostic Testing Facility (idtf) · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Tellica Imaging, LLC is a Physiological Laboratory organization in Ogden, UT (NPI 1144802802).
Provider details
- NPI number
- 1144802802
- Entity type
- Organization
- Primary specialty
- Physiological LaboratoryLaboratories
- Parent organization
- Intermountain Healthcare
- Organization subpart
- Yes
- Authorized official
- Brad Isaacson, President(801) 442-5737
Specialties & taxonomies
Laboratories
- Radiology Clinic/Center261QR0200X
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure28% of score
5 yrs in NPPES registry
- Profile completeness28% of score
100% of core fields populated
- Practice footprint17% of score
7 documented practice locations
- Medicare service volume (vs. specialty peers)28% of score
4,381 Medicare services, 2024 (ranked within specialty)
Medicare volume is ranked against active providers in the same specialty. 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.
What this provider does (Medicare)
Based on Medicare fee-for-service claims, 2024; not all care is captured.
| Service (HCPCS) | Medicare services | Typical Medicare-allowed (2024) |
|---|---|---|
| Ct Scan of Chest Without Contrast71250 | 632 | $125 |
| Mri Scan of Lower Spinal Canal Without Contrast72148 | 622 | $180 |
| Ct Scan of Abdomen and Pelvis With Contrast74177 | 454 | $288 |
| Ct Scan of Chest With Contrast71260 | 332 | $132 |
| Mri Scan of Leg Joint Without Contrast73721 | 256 | $191 |
| Mri Scan of Brain Before and After Contrast70553 | 244 |
Practice location
Mailing address
Additional practice locations (6)
- 110 N Main St Ste 200nBountiful, UT 84010-6134Phone: (385) 297-5520
- 194 W 13490 SSte 104Draper, UT 84020Phone: (385) 297-5510
- 256 E University PkwyOrem, UT 84058-7601Phone: (801) 357-3225
- 2645 E Parleys Way Ste 200Salt Lake City, UT 84109-1636Phone: (385) 197-5530
- 692 East Market Place DriveSpanish Fork, UT 84660Phone: (610) 772-7252
- 4587 S 4000 WWest Valley, UT 84120-6317Phone: (012) 974-2908
Registry dates
- Enumerated
- 2021-04-22
- Last updated
- 2024-03-22
- Certified
- 2024-03-20
Frequently asked questions
- What is Tellica Imaging, LLC's NPI number?
- Tellica Imaging, LLC's National Provider Identifier (NPI) is 1144802802, 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 Physiological Laboratory (Laboratories).
- Where is Tellica Imaging, LLC located?
- Tellica Imaging, LLC's practice location on file with NPPES is 1028 Chambers St, Ogden, UT 84403-5181.
- What is Tellica Imaging, LLC's phone number?
- The practice phone number listed in the NPPES registry for Tellica Imaging, LLC is (801) 442-5737.
- Does Tellica Imaging, LLC accept Medicare?
- Tellica Imaging, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- 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 (1144802802) is active in the NPPES registry as of the last update on 2024-03-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.