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Organization

Tellica Imaging, LLC

NPI Record: ActivePhysiological Laboratory
NPI1144802802
Ogden, Utah

Provider's NPPES record last updated: March 22, 2024

Overview

Entity Type
Organization
NPI
1144802802
Primary Specialty
Physiological Laboratory
Practice Location
Ogden, Utah
Organization Subpart
Yes
Parent Organization
Intermountain Healthcare

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 19, 2026, 1:00 PM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Physiological Laboratory

    Laboratories

    Primary

    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.

    Taxonomy code 293D00000X
  • Clinic/Center

    Radiology

    Ambulatory Health Care Facilities

    Definition to come...

    Taxonomy code 261QR0200X

Practice Locations

Practice Location

1028 Chambers St

Ogden, Utah 84403-5181

Phone: (801) 442-5737

Additional Practice Location

692 East Market Place Drive

Spanish Fork, Utah 84660

Phone: (610) 772-7252

Additional Practice Location

2645 E Parleys Way Ste 200

Salt Lake City, Utah 84109-1636

Phone: (385) 197-5530

Additional Practice Location

194 W 13490 S

Ste 104

Draper, Utah 84020

Phone: (385) 297-5510

Additional Practice Location

256 E University Pkwy

Orem, Utah 84058-7601

Phone: (801) 357-3225

Additional Practice Location

4587 S 4000 W

West Valley, Utah 84120-6317

Phone: (012) 974-2908

Additional Practice Location

110 N Main St Ste 200n

Bountiful, Utah 84010-6134

Phone: (385) 297-5520

Record Information

Enumeration Date
April 22, 2021
Provider's NPPES Record Last Updated
March 22, 2024
Certification Date
March 20, 2024
NPISignal NPPES Dataset
August 2026

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