Contract Details
Facility name
AmeriPath
Provider ID
P000006706
NPI
1700154747
Tax ID
562097663
Effective Date
5/16/2012
Last Updated
9/26/2013
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
214 Overlook Circle Suite 120
Brentwood, TN 37027
United States
County
Williamson
Phone
6152211295 (Phone)
Billing Details
Address
PO Box 65721
Charlotte, NC 282650721
Billing Phone
6152211295
Specialty Type
Laboratory Service Provider
Map
Address