Contract Details
Ancillary Care Services
Facility name
Delray Diagnostics
Provider ID
P000004588
NPI
1457405060
Tax ID
650891853
Effective Date
4/1/2012
Last Updated
10/9/2013
Direct Contract
No
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
68.00
Location Details
Address
101 Northwest 1st Avenue
Delray Beach, FL 33444
United States
County
Palm Beach
Phone
5612724770 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Diagnostic Services
Map
Address