Tellica Imaging, LLC
NPI 1457055774 · Radiology Clinic/Center · Manchester, NH
Tellica Imaging, LLC is a Radiology Clinic/Center organization in Manchester, NH (NPI 1457055774).
Provider details
- NPI number
- 1457055774
- Entity type
- Organization
- Primary specialty
- Radiology Clinic/CenterAmbulatory Health Care Facilities
- Parent organization
- Intermountain Healthcare
- Organization subpart
- Yes
- Authorized official
- Mark Vawdrey, Chief Financial Officer(801) 718-1642
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
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
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
Registry dates
- Enumerated
- 2023-03-29
- Last updated
- 2025-08-27
- Certified
- 2025-08-27
Frequently asked questions
- What is Tellica Imaging, LLC's NPI number?
- Tellica Imaging, LLC's National Provider Identifier (NPI) is 1457055774, 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 1100 Bicentennial Dr Ste 3b, Manchester, NH 03104-2173.
- What is Tellica Imaging, LLC's phone number?
- The practice phone number listed in the NPPES registry for Tellica Imaging, LLC is (603) 292-3491.
- Who is the authorized official for Tellica Imaging, LLC?
- The authorized official listed on Tellica Imaging, LLC's NPPES record is Mark Vawdrey, Chief Financial Officer. 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 (1457055774) is active in the NPPES registry as of the last update on 2025-08-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.