Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum Organization subpart

Tellica Imaging, LLC

Q: What type of organization is Tellica Imaging, LLC?

Tellica Imaging, LLC is registered in NPPES as a Physiological Laboratory (its primary provider taxonomy).

Physiological Laboratory in Bountiful, UT · enumerated 2022 · authorized official Nannette Berensen, Ceo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1205554367

Verified

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Registry record

Entity type Organization (Type 2)

Legal business name Tellica Imaging, LLC

Parent organization Intermountain Healthcare

Practice address 110 N Main St, Bountiful, UT, 84010

Phone (801) 442-5737

Enumeration date Aug 16, 2022

Last updated in NPPES Feb 7, 2023

Taxonomy & classification

261QR0200X Radiology Clinic/Center Ambulatory Health Care Facilities Secondary

293D00000X Physiological Laboratory Laboratories Primary

Authorized official

Name Nannette Berensen

Title Ceo

Phone (801) 507-8002

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What type of organization is Tellica Imaging, LLC?

Tellica Imaging, LLC is registered in NPPES as a Physiological Laboratory (its primary provider taxonomy).

What is a Type 2 NPI?

A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-02-07.