Contract Details
Birmingham Radiological Group, P.C.
Facility name
Cullman Open MRI
Provider ID
P000002067
NPI
1548409873
Tax ID
630587021
Effective Date
5/9/2017
Last Updated
8/17/2017
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
M
Exhibit ID
AM_335
Location Details
Address
1809 Dahlke Drive Northeast
Cullman, AL 35058
United States
County
Cullman
Phone
2562556736 (Phone)
Billing Details
Address
P.O. Box 2514
Birmingham, AL 35201
Billing Phone
2058714274
Specialty Type
Magnetic Resonance Imaging (MRI) Facility
Map
Address