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Scott
G
Akin
MD
Contract Details
Premier Imaging Center
Facility name
Provider ID
P000007662
NPI
1366447401
Tax ID
630587021
Effective Date
6/13/2018
Last Updated
6/19/2018
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
M
Exhibit ID
AM_387
AM_387
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