Contract Details
A1 Imaging Centers LLC
Facility name
A1 Imaging of College Station
Provider ID
P000004990
NPI
1639339781
Tax ID
262562595
Effective Date
4/1/2012
Last Updated
10/23/2012
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
84.00
Location Details
Address
1726 Rock Prairie Rd
College Station, TX 77845
United States
County
Brazos
Phone
9796956999 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Diagnostic Services
Map
Address