Contract Details
Facility name
Bridgeway Diagnostic Radiology
Provider ID
P000009356
Tax ID
471579306
Effective Date
5/19/2015
Last Updated
6/20/2019
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
1910 E. Samford Avenue
Auburn, AL 36830
United States
County
Lee
Phone
3345395700 (Phone)
Billing Details
Address
1910 E. Samford Avenue
Auburn, AL 36830
Billing Phone
3345395700
Specialty Type
Diagnostic Services
Map
Address