TELLICA IMAGING, LLC
Physiological Laboratory · WEST VALLEY CITY, UT
Organization Active NPI 1407438039
Medicare payment data Part B · 2022
| Year | Beneficiaries | Services | Submitted | Allowed | Paid |
|---|---|---|---|---|---|
| 2022 | 262 | 290 | $131,100 | $59,493 | $46,544 |
Taxonomy & licensure
| Specialty | Code | Primary | License | State |
|---|---|---|---|---|
| Physiological Laboratory | 293D00000X | ✓ | — | — |
| Radiology Clinic/Center | 261QR0200X | — | — |
Other Physiological Laboratory providers in Utah
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Source: NPPES (public domain) and CMS Medicare Physician & Other Practitioners data. Not affiliated with CMS, NPPES, or any government agency.