Contract Details
Fast360, LLC
Facility name
Eufaula MRI
Provider ID
P000006833
NPI
1770523029
Tax ID
460926698
Effective Date
1/1/2017
Last Updated
5/21/2017
Direct Contract
No
Status
Active
Contract Discounts
Discount Type
M
Exhibit ID
AM_312
Location Details
Address
820 West Washington Street Suite 2
Eufaula, AL 36027
United States
County
Barbour
Phone
8666746728 (Phone)
Billing Details
Address
761 Old Hickory Boulevard
Suite 300
Brentwood, TN 37027
Billing Phone
8666746728
Specialty Type
Diagnostic Services
Map
Address