Contract Details
Facility name
Empire City Laboratories
Provider ID
P000003719
NPI
1053584482
Tax ID
203734391
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
4306 3rd Ave
Brooklyn, NY 11232
United States
County
Kings
Phone
7187883840 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Laboratory Service Provider
Map
Address