Contract Details
Long Island Radiology Associates, PC
Facility name
Empire Imaging
Provider ID
P000006202
Tax ID
112291529
Effective Date
4/1/2012
Last Updated
10/23/2012
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
68.00
Location Details
Address
11302 Queens Blvd
Forest Hills, NY 11375
United States
County
Queens
Phone
7185443066 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Diagnostic Services
Map
Address