TELLICA IMAGING, LLC

SPANISH FORK, UT
NPI1518727734
Entity TypeOrganization
Authorized ContactBRAD ISAACSON
President
610-772-7252
Organization Subpart ?No
Primary Taxonomy293D00000X Physiological Laboratory
Additional Taxonomies261QR0200X Clinic/Center, Radiology
Enumeration Date2024-03-22
Last Update Date2024-03-22
Business Address
TELLICA IMAGING, LLC
692 EAST MARKET PLACE DRIVE
SPANISH FORK, UT 84660
Phone number: 610-772-7252
Mailing Address
TELLICA IMAGING, LLC
36 S STATE ST
SALT LAKE CITY, UT 84111-1401
Phone number: