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Contract Details
Metro Infectious Disease
Facility name
Provider ID
P000000001
NPI
1235125717
Tax ID
363966745
Effective Date
7/1/2021
Last Updated
7/6/2021
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
F
Fee Schedule Name
107.00
Fee Schedule Multiplier
Location Details
Address
301 Sparkman Drive NW
Huntsville, AL 35988
United States
Phone
630-655-6770 (Phone)
Billing Details
Address
901 McClinktock Drive
Suite 202
Burr Ridge, IL 60527
Billing Phone
630-655-6770
Specialty Type
Infectious Diseases
Map
Address