Contract Details
A1 Imaging Centers LLC
Facility name
A1 Imaging of Dallas
Provider ID
P000004634
NPI
1477713527
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
6550 North MacArthur Blvd Suite 120
Irving, TX 75039
United States
County
Dallas
Phone
9724440100 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Diagnostic Services
Map
Address