Med Tel International Corporation

Primary specialty

Radiology Clinic/CenterTaxonomy code 261QR0200X

License

M269R Issued in MD

Legal business name

MED TEL INTERNATIONAL CORPORATION

Practice address

1820 Sweetbay Dr
Suite 102
Salisbury, MD 21804-1428

Phone

(410) 546-3390

Fax

(410) 546-6136

NPI assigned

Mar 15, 2007

Organization subpart

Yes

Parent organization

MED TEL INTERNAITONAL CORPORATIONAs reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

John Valla

Title

Vice President

Phone

(973) 873-9850

Specialties & licenses 1

Addresses

Other names 1

• Wide Open Imaging Doing business as

Part of

Med-Tel Intrntl Corp

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1200268800000",
    "number": "1205960986",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 SPRING HILL RD",
            "address_2": "SUITE 500",
            "city": "MCLEAN",
            "state": "VA",
            "postal_code": "221023000",
            "telephone_number": "703-287-4189",
            "fax_number": "703-448-8180"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1820 SWEETBAY DR",
            "address_2": "SUITE 102",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218041428",
            "telephone_number": "410-546-3390",
            "fax_number": "410-546-6136"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MED TEL INTERNATIONAL CORPORATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MED TEL INTERNAITONAL CORPORATION",
        "enumeration_date": "2007-03-15",
        "last_updated": "2008-01-14",
        "status": "A",
        "authorized_official_last_name": "VALLA",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "973-873-9850"
    },
    "taxonomies": [
        {
            "code": "261QR0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology",
            "state": "MD",
            "license": "M269R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Wide Open Imaging",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Katelyn Marie McWilliams, PTA
• Rachael McWilliams, PHARM. D.
• John O Meadows, M.D.
• Stephen Lee Mears, NP
• Tyjanea Judah Mears, MA, CF-SLP
• Med Tel International Corporation
• Chrystle Medina
• Medley'S Healthcare Agency, LLC
• Medstar Health Weight Management, LLC
• Medstar Health Weight Management, LLC

• Radiology Clinic/Center in Salisbury, MD
• Providers in Salisbury, MD by specialty
• Radiology Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.