Organization
TELLICA IMAGING - WASHINGTON LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRAD ISAACSON PHD (PRESIDENT)
(801) 442-6000
Entity
Organization
Contact information
Practice address
2941 S 38TH ST STE E, TACOMA, WA 98409-5647
(253) 534-8689
(253) 617-1296
Mailing address
36 S STATE ST, SALT LAKE CITY, UT 84111-1401
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
—
—
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
04/10/2024
Last updated
01/26/2026
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