Contract Details
Blue Star Imaging, LP
Facility name
Blue Star Imaging
Provider ID
P000006550
Tax ID
263586982
Effective Date
4/1/2012
Last Updated
10/23/2012
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
84.00
Location Details
Address
3000 Corporate Ct Suite 400
Flower Mound, TX 75028
United States
County
Denton
Phone
2146476160 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Diagnostic Services
Map
Address