Contract Details
Ancillary Care Services
Facility name
A1 Imaging Centers
Provider ID
P000005246
NPI
1740440890
Tax ID
262562595
Effective Date
4/1/2012
Last Updated
9/30/2013
Direct Contract
No
Term Date
9/30/2013
Status
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
84.00
Location Details
Address
1975 Veterans Parkway
Columbus, GA 31904
United States
County
Muscogee
Phone
7066538303 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Diagnostic Services
Map
Address