Healthcare Provider Details

I. General information

NPI: 1386864312
Provider Name (Legal Business Name): MED TEL INTERNATIONAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/01/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1430 SPRING HILL RD SUITE 500
MCLEAN VA
22102-3000
US

IV. Provider business mailing address

PO BOX 10744
MCLEAN VA
22102-8744
US

V. Phone/Fax

Practice location:
  • Phone: 703-448-8800
  • Fax: 703-448-8515
Mailing address:
  • Phone: 703-448-8800
  • Fax: 703-448-8515

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261QM1200X
TaxonomyMagnetic Resonance Imaging (MRI) Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QR0200X
TaxonomyRadiology Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: THOMPSON S DENT
Title or Position: CEO
Credential:
Phone: 615-236-4640