Contract Details
A1 Imaging Centers LLC
Facility name
A1 Imaging of Houston
Provider ID
P000004838
NPI
1568622611
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
17482 Northwest Fwy
Houston, TX 77040
United States
County
Harris
Phone
7138565955 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Diagnostic Services
Map
Address