Contract Details
Central Alabama MRI
Facility name
Central Alabama MRI
Provider ID
P000002035
NPI
1982764007
Tax ID
202004614
Effective Date
9/17/2018
Last Updated
9/18/2018
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
M
Exhibit ID
AM_394
Location Details
Address
1080 Airport Drive
Alexander City, AL 35010
United States
County
Tallapoosa
Phone
2563970402 (Phone)
Billing Details
Address
1080 Airport Drive
Alexander City, AL 35010
Billing Phone
2563970402
Specialty Type
Diagnostic Services
Map
Address