Contract Details
Doshi Diagnostic Imaging Services, PC
Facility name
Doshi Diagnostic Imaging Services, PC
Provider ID
P000006259
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
3250 Westchester Ave Suite L
Bronx, NY 10461
United States
County
Bronx
Phone
7188922230 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Diagnostic Services
Map
Address