Contract Details
Doshi Diagnostic Imaging Services, PC
Facility name
Doshi Diagnostic Imaging Services, PC
Provider ID
P000005193
NPI
1720031339
Tax ID
113023313
Effective Date
4/1/2012
Last Updated
10/23/2012
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
84.00
Location Details
Address
14705 Elm Ave
Flushing, NY 11355
United States
County
Queens
Phone
5169332800 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Diagnostic Services
Map
Address