Contract Details
Facility name
Acupath Laboratories Inc
Provider ID
P000004035
NPI
1215921549
Tax ID
113272376
Effective Date
4/1/2012
Last Updated
10/23/2012
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
98.00
Location Details
Address
28 South Terminal Dr
Plainview, NY 11803
United States
County
Nassau
Phone
5167758103 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Laboratory Service Provider
Map
Address