WIDE OPEN MRI - NPI 1306970017 - Clinic/Center in Pueblo, CO

Q: What is the provider's specialty?

The provider's specialty is Clinic/Center with taxonomy code 261QM1200X and a focus in Magnetic Resonance Imaging (MRI).

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About Wide Open Mri NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

WIDE OPEN MRI (NPI 1306970017) is a healthcare organization registered as a magnetic resonance imaging (mri) in Pueblo, Colorado and active in the NPI registry since March 2007. The organization lists Thompson S Dent, Ceo, as its authorized official.

NPPES Registry Identity

NPI1306970017

Entity TypeOrganization

Primary Taxonomy261QM1200X

Legal Business NameMED TEL INTERNATIONAL CORPORATION

Location Address1630 FORTINO BLVDPueblo, CO 81008-1856

Mailing Address1430 Spring Hill Rd, Suite 500Mclean, VA 22102-3000 · (703) 287-4189 · Fax (703) 448-8515

Phone(719) 543-8300

Fax(719) 543-8306

Organization SubpartNo

Authorized OfficialThompson S DentCeo · (615) 236-4640

Enumeration DateMarch 15, 2007

Last NPPES UpdateAugust 22, 2020

✔ NPI 1306970017 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Magnetic Resonance Imaging (MRI)Ambulatory Health Care Facilities

Taxonomy Code261QM1200X

1630 FORTINO BLVD, Pueblo, CO 81008

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Other Names 1

Doing Business AsWide Open Mri

Other Identifiers 1

Medicaid91406285CO

Other Providers at the Same Location NPPES 9

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ALAN M TAKAKI D.D.S.

Dentist (General Practice)