# MED TEL INTERNATIONAL CORPORATION

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** MED TEL INTERNATIONAL CORPORATION
- **Other names:** Wide Open MRI
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1689708265
- **Legal business name:** MED TEL INTERNATIONAL CORPORATION
- **Authorized official:** JOHN VALLA (VICE PRESIDENT)
- **Authorized official phone:** (973) 873-9850

## Contact information

- **Practice address:** 684C POOLE RD, POOL ROAD MEDICAL CENTER, WESTMINSTER, MD 21157-6003
- **Practice address phone:** (410) 386-0835
- **Practice address fax:** (410) 386-0840
- **Mailing address:** 1430 SPRING HILL RD, SUITE 500, MCLEAN, VA 22102-3000
- **Mailing address phone:** (703) 287-4189
- **Mailing address fax:** (703) 448-1807

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1200X | Magnetic Resonance Imaging (MRI) Clinic/Center | M209 | MD | Yes |

## Other

- **Enumeration date:** 03/15/2007
- **Last updated:** 01/14/2008