NPI 1518727734

Tellica Imaging, LLC

Organisation Physiological Laboratory Spanish Fork, UT

Practice location

Address: 692 East Market Place Drive, Spanish Fork, UT 84660
Phone: (610) 772-7252
Mailing address: 36 S State St, Salt Lake City, UT 84111-1401

Authorised official

Name: Brad Isaacson
Title: President
Phone: (151) 872-7734

Registered specialties (2)

Physiological Laboratory Primary

Laboratories Taxonomy 293D00000X

Other Physiological Laboratory providers in Utah →

Radiology Clinic/Center

Ambulatory Health Care Facilities Taxonomy 261QR0200X

Other Clinic/Center providers in Utah →

Registry record

NPI: 1518727734
Entity type: Organization
NPI issued: 22 Mar 2024
Record last updated: 27 Aug 2025

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.