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MED TEL INTERNATIONAL CORPORATION NPI 1821122573


NPI Information

NPI: 1821122573
Provider Name: MED TEL INTERNATIONAL CORPORATION

Doing Business As: WIDE OPEN MRI

Classification: Clinic/Center - 261QM1200X
Entity Type: Organization

Specialization: Magnetic Resonance Imaging (MRI)

Address:
407 S DUPONT BLVD
MILFORD, DE
ZIP 19963
Phone: (302) 424-0500
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MED TEL INTERNATIONAL CORPORATION is a magnetic resonance imaging (mri) clinic center in Milford, DE. MED TEL INTERNATIONAL CORPORATION NPI is 1821122573. 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:

407 S DUPONT BLVD
MILFORD, DE
ZIP 19963-787
Phone: (302) 424-0500
Fax: (302) 424-3807

The provider's authorized official is John Valla .
The authorized official title is Vice President and has the following contact phone number (615) 236-4640.

The enumeration date for this NPI number is 3/15/2007 and was last updated on 1/11/2008.


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
1261QM1200XClinic/CenterMagnetic Resonance Imaging (MRI)2006213742DELAWAREYes

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
10001093602MEDICAIDDELAWARE
2G00206MEDICARE PINDELAWARE

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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