Contract Details
ADIN Healthcare, Inc.
Facility name
Birmingham Radiological Group, PC
Provider ID
P000006826
NPI
1376594192
Tax ID
261285527
Effective Date
7/1/2012
Last Updated
5/21/2017
Direct Contract
Yes
Term Date
7/2/2012
Status
Contract Discounts
Discount Type
M
Exhibit ID
AM_149
Location Details
Address
1011 Lay Dam Road
Clanton, AL 35045
United States
County
Chilton
Phone
8666746728 (Phone)
Billing Details
Address
761 Old Hickory Boulevard
Suite 300
Brentwood, TN 37027
Billing Phone
8666746728
Specialty Type
Diagnostic Services
Map
Address