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Contract Details
ImageSouth
Facility name
Birmingham 3T Imaging
Provider ID
P000009387
NPI
1790342277
Tax ID
582346917
Effective Date
8/8/2019
Last Updated
8/16/2019
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
M
Exhibit ID
AM_423
AM_423
Location Details
Address
509 Brookwood Blvd
Homewood, AL 35209
United States
County
Jefferson
Phone
2054149850
(
Phone
)
Billing Details
Address
509 Brookwood Blvd
Homewood, AL 35209
Billing Phone
2054149850
Specialty Type
Diagnostic Services
Map
Address