NPI 1003510322
Tellica Imaging, LLC
Practice location
- Address
- 345 Amherst St STE 3, Nashua, NH 03063-1754
- Phone
- (603) 292-3006
- Mailing address
- 36 S State St STE 2200, Salt Lake City, UT 84111-1470
Authorised official
- Name
- Mark Vawdrey
- Title
- Chief Financial Officer
- Phone
- (801) 718-1642
Registered specialties (2)
Radiology Clinic/Center
Primary
Diagnostic Radiology Physician
Registry record
- NPI
- 1003510322
- Entity type
- Organization
- NPI issued
- 29 Mar 2023
- Record last updated
- 11 Apr 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.