WIDE OPEN MRI – NPI #1477687119
Clinic/Center

WIDE OPEN MRI is an AHC clinic located in DOVER, DE. NPPES has assigned the NPI number 1477687119 to WIDE OPEN MRI on March 15, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “WIDE OPEN MRI” is a dba name, the actual legal business name for this organization is MED TEL INTERNATIONAL CORPORATION. The primary taxonomy selected by this provider is 261QM1200X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Magnetic Resonance Imaging (MRI)

The NPI profile was previously updated about 18 years ago on Jan 14, 2008. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for WIDE OPEN MRI below.

NPI Profile for
MED TEL INTERNATIONAL CORPORATION

NPI Number
1477687119
Enumeration Date

(more than 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MED TEL INTERNATIONAL CORPORATION
Doing Business As (dba): WIDE OPEN MRI
Primary location
1306 S DUPONT HWY
DOVER, DE 19901-4404
Phone: (302) 730-9300 Fax: (302) 730-9400
Mailing address
1430 SPRING HILL RD
SUITE 500
MCLEAN, VA 22102-3000
Phone: (703) 287-4189 Fax: (703) 448-1807
Organization Subpart
Yes - WIDE OPEN MRI is subpart of another organization.
Authorized Official
JOHN VALLA
VICE PRESIDENT
Phone: (973) 873-9850
Updated
Identifiers

Identifiers for WIDE OPEN MRI

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDDE0001093602
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QM1200X
- Clinic/Center / Magnetic Resonance Imaging (MRI) (Primary)
DE 1999206137

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.