Contract Details
Facility name
AmeriTox
Provider ID
P000007178
NPI
1750355491
Tax ID
710884092
Effective Date
9/19/2012
Last Updated
3/4/2022
Direct Contract
Yes
Term Date
2/28/2022
Status
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
90.00
Location Details
Address
9930 West Highway 80
Midland, TX 79706
United States
County
Midland
Phone
8884942165 (Phone)
Billing Details
Address
9930 West Highway 80
Baltimore, MD 79706
Billing Phone
8884942165
Specialty Type
Laboratory Service Provider
Map
Address