MED TEL INTERNATIONAL CORPORATION (NPI# 1306970017) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306970017 |
| Entity Type | Organization |
| Organization Name | MED TEL INTERNATIONAL CORPORATION |
| Other Organization Name | WIDE OPEN MRI |
| Practice Address |
1630 Fortino Blvd Pueblo CO 81008-1856 |
| Mailing Address |
1430 Spring Hill Rd Suite 500 Mclean VA 22102-3000 |
| Practice Telephone | 7195438300 |
| Practice Fax Number | 7195438306 |
| Mailing Telephone | 7032874189 |
| Mailing Fax Number | 7034488515 |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | THOMPSON S DENT (CEO) |
| Authorized Official Telephone | 6152364640 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM1200X |
Clinic/Center Specialization: Magnetic Resonance Imaging (MRI) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 91406285 | 05 |
| Other Name | Type Code |
|---|---|
| Wide Open MRI | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386864312 | Med Tel International Corporation | Clinic/Center | 1430 Spring Hill Rd, Suite 500, Mclean, VA 22102-3000 | 2007-05-01 |
| 1588798854 | Med Tel International Corporation | Clinic/Center | 4851 Interstate Hwy 35 East, Suite 105, Corinth, TX 76210 | 2007-03-16 |
| 1689708265 | Med Tel International Corporation | Clinic/Center | 684c Poole Rd, Pool Road Medical Center, Westminster, MD 21157-6003 | 2007-03-15 |
| 1578697181 | Med Tel International Corporation | Clinic/Center | 250 Executive Dr, #c, Marion, OH 43302-6284 | 2007-03-15 |
| 1477687119 | Med Tel International Corporation | Clinic/Center | 1306 S Dupont Hwy, Dover, DE 19901-4404 | 2007-03-15 |
| 1821122573 | Med Tel International Corporation | Clinic/Center | 407 S Dupont Blvd, Milford, DE 19963-1787 | 2007-03-15 |
| 1154455764 | Med Tel International Corporation | Clinic/Center | 6545 W Central Ave, Suie 104, Toledo, OH 43617-1089 | 2007-03-15 |
| 1740314418 | Med Tel International Corporation | Clinic/Center | 17 Western Maryland Pkwy, Suite 101, Hagerstown, MD 21740-5146 | 2007-03-15 |
| 1992839518 | Med Tel International Corporation | Radiology | 405 Phoenix Dr, Unit A, Chambersburg, PA 17201-4534 | 2007-03-15 |
| 1407980030 | Med Tel International Corporation | Clinic/Center | 1321 W 2nd Ave, Corsicana, TX 75110-3775 | 2007-03-15 |
| Street Address |
1630 FORTINO BLVD |
| City | PUEBLO |
| State | CO |
| Zip Code | 81008-1856 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306822556 | Alan M Takaki | Dentist | 1630 Fortino Blvd, Pueblo, CO 81008-1856 | 2005-12-20 |
| 1093322547 | Southern Colorado Health & Rehab | Clinic/Center | 1630 Fortino Blvd, Pueblo, CO 81008-1856 | 2020-09-29 |
| 1649661737 | Debra Giordano | Dental Hygienist | 1630 Fortino Blvd, Pueblo, CO 81008-1856 | 2015-02-10 |
| 1821488982 | Samantha Thompson | Dental Hygienist | 1630 Fortino Blvd, Pueblo, CO 81008-1856 | 2015-01-28 |
| 1841561024 | Alan M Takaki Takaki Dental Care Center | Dentist | 1630 Fortino Blvd, Pueblo, CO 81008-1856 | 2012-01-20 |
| 1497042493 | Jeremy V Thomas | Dentist | 1630 Fortino Blvd, Pueblo, CO 81008-1856 | 2011-06-29 |
| 1851623912 | Lorraine Kay Jubic | Dental Hygienist | 1630 Fortino Blvd, Pueblo, CO 81008-1856 | 2010-01-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164058913 | Healthone Clinic Services - Oncology Hematology LLC | Internal Medicine | 3678 Parker Blvd, Pueblo, CO 81008 | 2020-03-12 |
| 1073026423 | Carmel Community Living Corporation | Respite Care | 2003 Northmoor Terrace, Suite 100, Pueblo, CO 81008 | 2017-11-08 |
| 1568987121 | Hannah Vivian Roadruck | Pharmacist | 4200 Dillon Dr., Pueblo, CO 81008 | 2017-08-04 |
| 1184170425 | Brett Burana | Dentist | 729 Us-50, Pueblo, CO 81008 | 2016-08-28 |
| 1760832885 | Irby Dental Cottage | Dental Hygienist | 2099 West St # 50, Suite 180, Pueblo, CO 81008 | 2016-06-20 |
| 1649624362 | Curley Peak Dentistry Pllc | Dentist | 1640 W Fortino Blvd, Pueblo, CO 81008 | 2016-04-19 |
| 1336507847 | Kyle Tipton | Nurse Anesthetist, Certified Registered | 4741 Eagleridge Circle, 206, Pueblo, CO 81008 | 2016-01-29 |
| 1407211931 | Center At Park West, LLC | Skilled Nursing Facility | 3727 Parker Blvd., Pueblo, CO 81008 | 2015-12-29 |
| 1417327461 | Nicole Betts | Registered Nurse | 1310 Fortino Blvd Ste D, Pueblo, CO 81008 | 2015-10-02 |
| 1437578028 | Pueblo Modern Dentistry and Orthodontics, LLP | Dentist | 727 Us Hwy 50 West, Pueblo, CO 81008 | 2014-04-10 |
| Find all providers in zip 81008 | ||||
| Taxonomy Code | 261QM1200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Magnetic Resonance Imaging (MRI) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922190487 | Open Mri of Pueblo, LLC | Clinic/Center | 1425 B Us Highway 50 West, Pueblo, CO 81008-1686 | 2006-09-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386208635 | Uchealth Imaging Services LLC | Clinic/Center | 175 Inverness Dr W Ste 150, Englewood, CO 80112-5062 | 2019-04-23 |
| 1609199140 | Fcid Colorado, Inc. | Clinic/Center | 485 Lindbergh Drive, Gypsum, CO 81631 | 2010-03-11 |
| 1265652473 | Alpine Open Imaging LLC | Clinic/Center | Beasley Center, 212 Chambers Rd, Eagle, CO 81632 | 2007-04-27 |
| 1689695694 | Opensided Mri of Denver, LLC | Clinic/Center | 5250 Leetsdale Dr, Ste 125, Denver, CO 80246 | 2006-07-22 |
| 1124076286 | Flatirons Imaging. LLC | Clinic/Center | 363 Centennial Pkwy, Suite 120, Louisville, CO 80027-1281 | 2006-05-04 |
| 1720046261 | South Denver Integrated Imaging | Clinic/Center | 14251 W Fremont Ave, Englewood, CO 80112 | 2006-05-03 |
| 1548647845 | Upright Mri of Colorado-llc | Clinic/Center | 6726 S Revere Pkwy, Suite 100, Centennial, CO 80112-3961 | 2015-05-06 |
| 1275963340 | Precision Imaging, LLC | Clinic/Center | 6825 S Galena St, Suite 102, Centennial, CO 80112-3715 | 2013-11-26 |
| 1427334671 | Boulder Mri, LLC | Clinic/Center | 1000 W South Boulder Rd, Ste: 105, Lafayette, CO 80026-2752 | 2011-11-01 |
| 1225273931 | Mrs Mri of Denver LLC | Clinic/Center | 9695 S Yosemite St, Lone Tree, CO 80124-2888 | 2008-12-09 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.