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

Tellica Imaging, LLC

Q: What is the NPI number for Tellica Imaging, LLC?

The NPI for Tellica Imaging, LLC is 1710605696, a Type 2 (organization) record in the CMS NPPES registry.

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

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

National Provider Identifier

1710605696

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Registry record

Entity type Organization (Type 2)

Legal business name Tellica Imaging, LLC

Parent organization Intermountain Healthcare

Practice address 195 W 13290 S, Draper, UT, 84020

Phone (801) 442-5737

Enumeration date Aug 17, 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 is the NPI number for Tellica Imaging, LLC?

The NPI for Tellica Imaging, LLC is 1710605696, a Type 2 (organization) record in the CMS NPPES registry.

Who is the authorized official for Tellica Imaging, LLC?

NPPES lists Nannette Berensen (Ceo) as the authorized official for this organization.

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