Wide Open Mri

LBN: Med Tel International Corporation
Wide Open Mri is an health care organization with primary practice located at 1630 Fortino Blvd , Pueblo CO 81008-1856. The organization recently has only one registered license in Ambulatory Health Care Facilities / Magnetic Resonance Imaging (MRI), which is considered as the primary health care specialty. Med Tel International Corporation can be contacted via phone (719) 543-8300, or through Dent, Thompson S via phone (615) 236-4640.

Contact Information

Primary practice address
1630 Fortino Blvd Pueblo CO 81008-1856
Phone: (719) 543-8300
Fax: (719) 543-8306
Website:
Map and Directions
Authorized official contact:
Name: Dent, Thompson S
Phone: (615) 236-4640

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Magnetic Resonance Imaging (MRI) 261QM1200X

Profile Details

NPI number 1306970017
LBN Legal business name Med Tel International Corporation
DBA Doing business as Wide Open Mri
Authorized official Dent, Thompson S
Entity Organization
Organization subpart 1 No
Enumeration date Mar 15th, 2007
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306970017 NPPES
Colorado MEDICAID 91406285

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