TELLICA IMAGING LLC NPI 1144802802

NPI Details

TELLICA IMAGING, LLC is a physiological laboratory in Ogden, UT. The provider is a laboratory that operates independently of a hospital and physician's office to furnish physiological diagnostic services (e.g. EEG's , EKG's, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services. TELLICA IMAGING, LLC NPI is 1144802802. The provider is registered as an organization entity type.

The provider's business location address is:

1028 CHAMBERS ST
OGDEN, UT
ZIP 84403-181
Phone: (801) 442-5737

The provider's authorized official is Brad Isaacson .
The authorized official title is President and has the following contact phone number (801) 442-5737.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

• Mri scan of lower spinal canal without contrast (HCPCS:72148)
• Mri scan of leg joint without contrast (HCPCS:73721)
• Ct scan of chest without contrast (HCPCS:71250)
• Ct scan of abdomen and pelvis with contrast (HCPCS:74177)
• Mri scan of brain before and after contrast (HCPCS:70553)
• Mri scan of arm joint without contrast (HCPCS:73221)
• Ct scan of abdomen and pelvis without contrast (HCPCS:74176)
• Mri scan of brain without contrast (HCPCS:70551)
• Ct scan head or brain without contrast (HCPCS:70450)
• Mri scan of upper spinal canal without contrast (HCPCS:72141)
• Ct scan of chest with contrast (HCPCS:71260)
• Ct scan of blood vessels of chest with contrast (HCPCS:71275)
• Ct scan of face without contrast (HCPCS:70486)
• Ct scan of soft tissue of neck with contrast (HCPCS:70491)

The enumeration date for this NPI number is 4/22/2021 and was last updated on 3/22/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available: