Contract Details
Ancillary Care Services
Facility name
Arlington Imaging Center
Provider ID
P000005859
Tax ID
043747138
Effective Date
4/1/2012
Last Updated
9/30/2013
Direct Contract
No
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
84.00
Location Details
Address
6500 Fort Caroline Road Suite B
Jacksonville, FL 32277
United States
County
Duval
Phone
9047455900 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Diagnostic Services
Map
Address