WIDE OPEN MRI
NPI 1477687119
Clinic/Center - Magnetic Resonance Imaging (MRI) in Dover, DE

NPI Status: Active since March 15, 2007

Contact Information

1306 S DUPONT HWY
DOVER, DE
ZIP 19901
Phone: (302) 730-9300
Fax: (302) 730-9400

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  • Organization
  • Clinic/Center
  • Magnetic Resonance Imaging (MRI)

About WIDE OPEN MRI

This page provides the complete NPI Profile along with additional information for Wide Open Mri, a provider established in Dover, Delaware operating as a Clinic/center, focusing in magnetic resonance imaging (mri) . The healthcare provider is registered in the NPI registry with number 1477687119 assigned on March 2007. The practitioner's primary taxonomy code is 261QM1200X with license number 1999206137 (DE). The provider is registered as an organization and their NPI record was last updated 18 years ago. The provider's is doing business as Wide Open Mri. The authorized official of this NPI record is John Valla (Vice President)

NPI
1477687119
Provider Legal Name
MED TEL INTERNATIONAL CORPORATION
Other Organization Name
WIDE OPEN MRI
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
1306 S DUPONT HWY DOVER, DE 19901
Location Phone
(302) 730-9300
Location Fax
(302) 730-9400
Mailing Address
1430 SPRING HILL RD SUITE 500 MCLEAN, VA 22102
Mailing Phone
(703) 287-4189
Mailing Fax
(302) 730-9400
Is Sole Proprietor?
No
Is Organization Subpart?
Yes
Enumeration Date
03-15-2007
Last Update Date
01-14-2008
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Magnetic Resonance Imaging (MRI)

Taxonomy Code
261QM1200X
Type
Ambulatory Health Care Facilities
License No.
1999206137
License State
DE

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

JOHN VALLA

Authorized Official Title
VICE PRESIDENT
Authorized Official Phone
(973) 873-9850

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
G00206MEDICARE PIN (08)MD 
0001093602MEDICAID (05)DE 

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1477687119
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
241471281412
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 4 + 7 + 1 + 2 + 8 + 1 + 4 + 1 + 2 + 24 = 61
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 61 = 99

The NPI number 1477687119 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 3 providers are registered at the same or nearby location.

TRISTATE TESLA IMAGING LLC

Radiologic Technologist

(Magnetic Resonance Imaging)

1306 S DUPONT HWY
DOVER, DE
ZIP 19901

(561) 866-3244

TESLA IMAGING CENTERS

Clinic/Center

(Radiology)

1306 S DUPONT HWY
DOVER, DE
ZIP 19901

(302) 672-0582

BIOSYSTEMS LIFE ASSESSMENTS LLC

Clinical Medical Laboratory

1306 S DUPONT HWY
DOVER, DE
ZIP 19901

(302) 770-7447

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1477687119, enumerated as an "organization" on March 15, 2007.

The provider is located at 1306 S DUPONT HWY DOVER, DE 19901 and the phone number is (302) 730-9300.

Clinic/Center with taxonomy code 261QM1200X and a focus in Magnetic Resonance Imaging (MRI).

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.