Contract Details
Ancillary Care Services
Facility name
Allermetrix
Provider ID
P000004430
NPI
1396790119
Tax ID
204571262
Effective Date
4/1/2012
Last Updated
9/27/2013
Direct Contract
No
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
76.00
Location Details
Address
400 Sugartree Lane Suite 510
Franklin, TN 37064
United States
County
Williamson
Phone
6155994100 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Laboratory Service Provider
Map
Address