Tellica Imaging - Washington LLC · Radiology Clinic/Center

421 East Main Street, Auburn, WA 98002

Overview

Tellica Imaging - Washington LLC is a Radiology Clinic/Center (organization) practicing in Auburn, Washington. The National Provider Identifier (NPI) is #1215887401, which was assigned on January 29, 2026, and the registration record was last updated on January 29, 2026. The practitioner's main practice location is at 421 East Main Street, Auburn, WA 98002; the contact telephone number is 2532042530, and the fax number is 2536171296. The primary taxonomy of Tellica Imaging - Washington LLC is Radiology Clinic/Center (261QR0200X), with specialization in Radiology. The authorized official for Tellica Imaging - Washington LLC is Brad Isaacson (President).

Provider Information

NPI 1215887401
Entity Type Organization
Organization Name TELLICA IMAGING - WASHINGTON LLC
Provider Name TELLICA IMAGING - WASHINGTON LLC
Practice Address 421 East Main Street
Auburn
WA 98002
Practice Telephone 2532042530
Practice Fax Number 2536171296
Mailing Address 36 S State St
Salt Lake City
UT 84111-1401
Certification Date 2026-01-26
Enumeration Date 2026-01-29
Last Update Date 2026-01-29
Is Organization Subpart N

Authorized Official Information

Official Name BRAD ISAACSON
Official Title PRESIDENT
Telephone 8014426000

Taxonomy and Licenses

PrimaryCodeClassificationSpecializationTaxonomy GroupLicense NumberLicense State
N2085R0202XRadiologyDiagnostic Radiology193400000X SINGLE SPECIALTY GROUP
Y261QR0200XClinic/CenterRadiology

Providers with the same name

Provider NameAddressTaxonomyEnumeration Date
Tellica Imaging - Washington LLC 2941 S 38th St Ste E, Tacoma, WA 98409-5647Diagnostic Radiology Physician2024-04-10

Taxonomy Information

Primary Taxonomy

Code 261QR0200X
Taxonomy Radiology Clinic/Center
Classification Clinic/Center
Specialization Radiology
Grouping Ambulatory Health Care Facilities
Definition: Definition to come...

Other Taxonomy

Code 2085R0202X
Taxonomy Diagnostic Radiology Physician
Classification Radiology
Specialization Diagnostic Radiology
Grouping Allopathic & Osteopathic Physicians
Definition: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source]
Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification
Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology.

Providers with the same taxonomy

Provider NameAddressTaxonomyEnumeration Date
Truepath Imaging 12 Salt Creek Ln Ste 430, Hinsdale, IL 60521-8652Radiology Clinic/Center2025-12-15
Scansational Imaging, LLC 6822 Plum Creek Dr, Amarillo, TX 79124-1601Radiology Clinic/Center2026-01-07
Thriv 360 Five Precision Diagnostics, LLC 100 Rice Mine Road Loop Ste 101, Tuscaloosa, AL 35406-2424Radiology Clinic/Center2026-01-27
Sanitas Healthcare of Texas, Pa 9820 Braun Rd, San Antonio, TX 78254-9656Radiology Clinic/Center2025-12-26
Ohri, LLC 17331 Pagonia Rd, Clermont, FL 34711-6010Radiology Clinic/Center2025-12-31
Viva Diagnostic Imaging, LLC 7175 N Durango Dr Ste 170, Las Vegas, NV 89149-4486Radiology Clinic/Center2026-01-27
Astoria Open Imaging LLC 3105 21st Ave, Astoria, NY 11105-2021Radiology Clinic/Center2026-01-23
Parker County Imaging LLC 1701 Martin Dr, Weatherford, TX 76086Radiology Clinic/Center2026-01-27
Palm Beach Vascular Institute LLC 11211 Prosperity Farms Rd Ste D226, Palm Beach Gardens, FL 33410-3466Radiology Clinic/Center2025-12-29
American Health Imaging of South Carolina, LLC 1103 48th Ave N Ste 101, Myrtle Beach, SC 29577-5418Radiology Clinic/Center2026-01-22
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Location Information

Street Address 421 EAST MAIN STREET
City AUBURN
State WA
Zip Code 98002
Country US

Providers in the same zip code

Provider NameAddressTaxonomyEnumeration Date
Karol Yamilet Alanis Torres 1102 16th St Ne, Auburn, WA 98002-0001Doula2025-12-02
Aiza Tan Lozada 4244 Auburn Way N, Auburn, WA 98002-1311Registered Nurse2025-12-01
Flordeliza Tolentino Gainey · Flordeliza Serrano Tolentino 122 3rd Street Ne, Auburn, WA 98002Registered Nurse2005-11-23
Samantha Raymond 4238 Auburn Way N, Auburn, WA 98002-1311Peer Specialist2025-08-11
Sara Rhea Juvonen · Sara Rhea Homblette 4238 Auburn Way N, Auburn, WA 98002-1311Behavior Technician2025-04-21
Melia Rayl 4238 Auburn Way N, Auburn, WA 98002-1311Counselor2025-08-25
Libin Idriss 4238 Auburn Way N, Auburn, WA 98002-1311Counselor2025-06-02
Tia Rottach 4238 Auburn Way N, Auburn, WA 98002-1311Peer Specialist2025-11-17
Jaclyn Turpening 332- Auburn Way North, Auburn, WA 98002Registered Nurse2025-05-29
Ginalyn Baldonado Marcelo 4244 Auburn Way N, Auburn, WA 98002-1311Registered Nurse2026-01-12
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Dataset Information

This dataset includes over five million health care providers who are assigned National Provider Identifier (NPI) in the National Plan and Provider Enumeration System (NPPES), developed by the Centers for Medicare & Medicaid Services (CMS). Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under Health Insurance Portability and Accountability Act (HIPAA). Each provider is registered with the NPI, full name, status, address, taxonomy, other identifiers, etc.

Subject Transparency and Disclosure
Jurisdiction Federal
Data Provider National Plan and Provider Enumeration System (NPPES), by the Centers for Medicare & Medicaid Services (CMS)
Source download.cms.gov

Dataset Details

The National Provider Identifier (NPI) is a Health Insurance Portability and Accountability Act (HIPAA) Administrative Simplification Standard. The NPI is a unique identification number for covered health care providers and all health plans and health care clearinghouses, who must use the NPIs in the administrative and financial transactions adopted under HIPAA. The NPI is a 10-position, intelligence-free numeric identifier (10-digit number).

All health care providers who are HIPAA-covered entities, whether individuals or organizations, must get an NPI. A HIPAA-covered entity is a health care provider that conducts certain transactions in electronic form, or a health care clearinghouse, or a health plan (including commercial plans, Medicare, and Medicaid).

Centers for Medicare & Medicaid Services (CMS) has developed the National Plan and Provider Enumeration System (NPPES) to assign unique identifiers to health care providers. The National Provider Indentifier (NPI) has been the standard identifier for all HIPAA-covered entities (health care providers) since May 23, 2007. Small health plans were required to obtain and use an NPI by May 23, 2008.

This dataset includes over five million health care providers (individuals and organizations) who are assigned NPI. The provider data elements are disclosed to the public by the Centers for Medicare & Medicaid Services (CMS) under the Freedom of Information Act (FOIA), as listed in the NPPES Data Dissemination Notice (CMS-6060-N). The NPI final rules define the following elements which required to be disclosed as determined by Department of Health & Human Services (HHS): NPI, Entity Type, Provider Name, Credential, Business Mailing Address, Business Location Address, Healthcare Provider Taxonomy Code, Other Provider Identifier, Provider Enumeration Date, NPI Deactivation Date, Provider License Number, Authorized Official Name and Contact Information.