Contract Details
CapacityLAB, LLC
Facility name
CapacityLAB
Provider ID
P000000001
NPI
1245837335
Tax ID
851171198
Effective Date
11/19/2020
Last Updated
11/23/2020
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
75.00
Location Details
Address
450 Century Park South Suite 103A
Birmingham, AL 35226
United States
Phone
2059681616 (Phone)
Billing Details
Address
450 Century Park South
Suite 103A
Birmingham, AL 35226
Billing Phone
2059681616
Specialty Type
Work Conditioning
Website
Visit Website
Workers Comp Coordinator
Jill
Page
jillpage@gmail.com
Map
Address