Michael  D  Jokich    MD
Contract Details
The Imaging Center
Facility name
Provider ID
P000007727
NPI
1891863395
Tax ID
453714607
Effective Date
4/1/2014
Last Updated
5/13/2014
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
1811 Beltline Road Southwest
Decatur, AL 35601
United States
County
Morgan
Phone
2563419300 (Phone)
Billing Details
Address
1811 Beltline Road Southwest
Decatur, AL 35601
Billing Phone
2563419300
Specialty Type
Radiology, Diagnostic
Map
Address