Contract Details
Ancillary Care Services
Facility name
A1 Imaging of Boynton Beach
Provider ID
P000004991
NPI
1639339799
Tax ID
262562595
Effective Date
4/1/2012
Last Updated
9/30/2013
Direct Contract
No
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
84.00
Location Details
Address
3795 West Boynton Beach Boulevard Suite C
Boynton Beach, FL 33436
United States
County
Palm Beach
Phone
5617400221 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Diagnostic Services
Map
Address