Kenneth  J  Richardson    MD
Contract Details
Open Air MRI of Troy
Facility name
Provider ID
P000008191
NPI
1861477127
Tax ID
870704020
Effective Date
7/1/2012
Last Updated
3/2/2015
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
M
Exhibit ID
AM_154
Location Details
Address
1001 South Franklin Drive
Troy, AL 36081
United States
County
Pike
Phone
3346700927 (Phone)
Billing Details
Address
P.O. Box 3711
Lake Charles, LA 70602
Billing Phone
3346700927
Specialty Type
Radiology, Diagnostic
Map
Address