Steven Vincent    Manzi    MD
Contract Details
American Health Imaging of Alabama, LLC
Facility name
Provider ID
P000001054
NPI
1174573901
Tax ID
631226975
Effective Date
8/17/2017
Last Updated
8/23/2017
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
M
Exhibit ID
AM_342
Location Details
Address
2101 4th Avenue South Suite 100
Birmingham, AL 35233
United States
County
Jefferson
Phone
2052511300 (Phone)
Billing Details
Address
2101 4th Avenue South
Suite 100
Birmingham, AL 35233
Billing Phone
2052511300
Specialty Type
Radiology, Diagnostic
Map
Address