Organization
MED TEL INTERNATIONAL CORPORATION
Active
Organization
MED TEL INTERNATIONAL CORPORATION
Active
Other names
Wide Open MRI
Organization subpart
No
Provider details
NPI number
Authorized official
THOMPSON S DENT (CEO)
(615) 236-4640
Entity
Organization
Contact information
Practice address
1630 FORTINO BLVD, PUEBLO, CO 81008-1856
(719) 543-8300
(719) 543-8306
Mailing address
1430 SPRING HILL RD, SUITE 500, MCLEAN, VA 22102-3000
(703) 287-4189
(703) 448-8515
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
91406285
—
CO
Enumeration date
03/15/2007
Last updated
08/22/2020
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