Contract Details
Ancillary Care Services
Facility name
Beaches MRI
Provider ID
P000005539
NPI
1881783553
Tax ID
651140494
Effective Date
4/1/2012
Last Updated
10/9/2013
Direct Contract
No
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
2701 PGA Boulevard Suite A
Palm Beach Gardens, FL 33410
United States
County
Palm Beach
Phone
5616277111 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Diagnostic Services
Map
Address