Contract Details
Ancillary Care Services
Facility name
A1 Imaging of Ocala
Provider ID
P000004795
NPI
1548420607
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
301 Southeast 17th Street Unit 102
Ocala, FL 34471
United States
County
Marion
Phone
3526227459 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Diagnostic Services
Map
Address