Active NPI
Med Tel International Corporation
Doing business as Wide Open Imaging
- Radiology Clinic/Center
- Hagerstown, MD
National Provider Identifier
1740314418
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiology Clinic/Center
- License
- M333R
- Legal business name
- MED TEL INTERNATIONAL CORPORATION
- Doing business as
- Wide Open Imaging
- Practice address
- 17 Western Maryland Pkwy
Suite 101
Hagerstown, MD 21740-5146 - Phone
- (301) 733-1477
- Fax
- (301) 733-7758
- NPI assigned
- Mar 15, 2007
- Organization subpart
- Yes
- Parent organization
- MED TEL INTERNATIONAL CORPORATION
NPPES NPI Registry
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
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiology Clinic/Center | 261QR0200X | M333R | MD | Primary |
Addresses
Primary practice location
17 Western Maryland Pkwy
Suite 101
Hagerstown, MD 21740-5146
Mailing address
1430 Spring Hill Rd
Suite 500
McLean, VA 22102-3000
Phone (703) 287-4189
Other names 1
- Wide Open Imaging
National Provider Directory
National Provider Directory- Part of
- Med-Tel International C
Locations
324 E Antietam St
Ste 308
Hagerstown, MD 21740
Phone (301) 671-2400
NPI Registry JSON
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": "1740314418",
"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": "703-448-1807"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "17 WESTERN MARYLAND PKWY",
"address_2": "SUITE 101",
"city": "HAGERSTOWN",
"state": "MD",
"postal_code": "217405146",
"telephone_number": "301-733-1477",
"fax_number": "301-733-7758"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MED TEL INTERNATIONAL CORPORATION",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MED TEL INTERNATIONAL 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": "M333R",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Wide Open Imaging",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Hagerstown, MD
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Sources for this page
- 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.