Contract Details
Columbus Diagnostic Center, Inc.
Facility name
Columbus Diagnostic Center
Provider ID
P000008742
NPI
1316108624
Tax ID
582100288
Effective Date
5/25/2017
Last Updated
5/25/2017
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
M
Exhibit ID
AM_322
Location Details
Address
2040 10th Avenue
Columbus, GA 31901
United States
County
Muscogee
Phone
7063223000 (Phone)
Billing Details
Address
P.O. Box 931077
Atlanta, GA 31193
Billing Phone
7063223000
Specialty Type
Diagnostic Services
Map
Address