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Tellica Imaging, LLC — NPI 1457055774, Manchester, NH | NPI Central

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Tellica Imaging, LLC

NPI 1457055774 · Radiology Clinic/Center · Manchester, NH

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

Radiology Clinic/CenterPrimary261QR0200X
Ambulatory Health Care Facilities
Diagnostic Radiology Physician2085R0202X
Allopathic & Osteopathic Physicians

Practice location

1100 Bicentennial Dr Ste 3b

Manchester, NH 03104-2173

Phone: (603) 292-3491

Approximate (ZIP-level) locationGet directions

More NH providers

Mailing address

36 S State St Ste 2200

Salt Lake City, UT 84111-1470

Registry dates

Enumerated: 2023-03-29
Last updated: 2025-08-27
Certified: 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.