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MED TEL INTERNATIONAL CORPORATION NPI 1740314418


NPI Information

NPI: 1740314418
Provider Name: MED TEL INTERNATIONAL CORPORATION

Doing Business As: WIDE OPEN IMAGING

Classification: Clinic/Center - 261QR0200X
Entity Type: Organization

Specialization: Radiology

Address:
17 WESTERN MARYLAND PKWY
SUITE 101
HAGERSTOWN, MD
ZIP 21740
Phone: (301) 733-1477
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MED TEL INTERNATIONAL CORPORATION is a radiology clinic center in Hagerstown, MD. MED TEL INTERNATIONAL CORPORATION NPI is 1740314418. The provider is registered as an organization entity type.
The provider Is Doing Business As Wide Open Imaging.

The provider's business location address is:

17 WESTERN MARYLAND PKWY
SUITE 101
HAGERSTOWN, MD
ZIP 21740-146
Phone: (301) 733-1477
Fax: (301) 733-7758

The provider's authorized official is John Valla .
The authorized official title is Vice President and has the following contact phone number (973) 873-9850.

The enumeration date for this NPI number is 3/15/2007 and was last updated on 1/14/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QR0200XClinic/CenterRadiologyM333RMARYLANDYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1192MMEDICARE PINMARYLAND

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: 4/28/2024

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