MED TEL INTERANTIONAL CORPORATION NPI 1639203284

NPI Information

  • NPI: 1639203284
  • Provider Name: MED TEL INTERANTIONAL CORPORATION
  • Classification: Physiological Laboratory - 293D00000X
  • Entity Type: Organization
  • Doing Business As: WIDE OPEN MRI
  • Address: 1515 10TH ST
    WICHITA FALLS, TX
    ZIP 76301
  • Phone: (940) 766-5242

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NPI Details

MED TEL INTERANTIONAL CORPORATION is a physiological laboratory in Wichita Falls, TX. The provider is a laboratory that operates independently of a hospital and physician's office to furnish physiological diagnostic services (e.g. EEG's , EKG's, scans, etc.). Facilities offering ONLY physiological services are not certified as independent laboratories. If an independent laboratory offers physiological services IN ADDITION to clinical laboratory services, they are surveyed only for compliance with the clinical laboratory regulations because there are no health and safety regulations for physiological services. MED TEL INTERANTIONAL CORPORATION NPI is 1639203284. The provider is registered as an organization entity type.
The provider Is Doing Business As Wide Open Mri.

The provider's business location address is:

1515 10TH ST
WICHITA FALLS, TX
ZIP 76301-404
Phone: (940) 766-5242
Fax: (940) 766-0449

The provider's authorized official is John Valla .
The authorized official title is Vice President and has the following contact phone number (937) 873-9850.

The enumeration date for this NPI number is 3/15/2007 and was last updated on 8/26/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1293D00000XPhysiological LaboratoryTEXASYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1FTX215MEDICARE PINTEXAS
2163697901MEDICAIDTEXAS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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