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Organization

MED TEL INTERNATIONAL CORPORATION

Active
Parent organization
MED TEL INTERNATIONAL CORPORATION
Other names
Wide Open Imaging
Organization subpart
Yes

Provider details

NPI number
Legal business name
MED TEL INTERNATIONAL CORPORATION
Authorized official
JOHN VALLA (VICE PRESIDENT)
(973) 873-9850
Entity
Organization

Contact information

Practice address
800 PIKE ST, MARIETTA, OH 45750-3507
(740) 374-7500
(740) 374-8802
Mailing address
1430 SPRING HILL RD, SUITE 500, MCLEAN, VA 22102-3000
(703) 287-4189
(703) 448-1807

Taxonomy

Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
0446IC
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2653570
OH
Enumeration date
03/15/2007
Last updated
01/14/2008
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