# TELLICA IMAGING - WASHINGTON LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215887401
- **Authorized official:** BRAD ISAACSON (PRESIDENT)
- **Authorized official phone:** (801) 442-6000

## Contact information

- **Practice address:** 421 EAST MAIN STREET, AUBURN, WA 98002
- **Practice address phone:** (253) 204-2530
- **Practice address fax:** (253) 617-1296
- **Mailing address:** 36 S STATE ST, SALT LAKE CITY, UT 84111-1401

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2085R0202X | Diagnostic Radiology Physician | — | NULL | — |
| 2085R0202X | Diagnostic Radiology Physician | — | — | — |
| 261QR0200X | Radiology Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 01/29/2026
- **Last updated:** 01/29/2026