Thomas  G  Loflin    MD
Contract Details
Premier Imaging Center
Facility name
Provider ID
P000007668
NPI
1083619159
Tax ID
630587021
Effective Date
5/9/2017
Last Updated
6/20/2018
Direct Contract
Yes
Term Date
6/12/2018
Status
Contract Discounts
Discount Type
M
Exhibit ID
AM_314
Location Details
Address
100 Pilot Medical Drive
Birmingham, AL 35235
United States
County
Jefferson
Phone
2058381971 (Phone)
Billing Details
Address
P.O. Box 2514
Birmingham, AL 35201
Billing Phone
2058714274
Specialty Type
Radiology, Diagnostic
Map
Address