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Contract Details
Facility name
American Health Imaging
Provider ID
P000000001
NPI
1821827551
Tax ID
631226975
Effective Date
8/17/2017
Last Updated
10/14/2024
Direct Contract
Yes
Status
Active
W9 Attachment
Contract Discounts
Discount Type
M
Exhibit ID
AM_545
Exhibit Attachment
Location Details
Address
8425 Wann Drive NW Suite 100
Madison, AL 35758
United States
Phone
256-581-0106
(
Phone
)
Fax
256-581-0107
Billing Details
Address
P.O. Box 745973
Atlanta, GA 303745
Billing Phone
256-581-0106
Specialty Type
Diagnostic Services
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