Tellica Imaging, LLC
NPI 1144802802 · Physiological Laboratory · Ogden, UT
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 | $296 |
| Ct Scan of Abdomen and Pelvis Without Contrast |
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
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.