Contract Details
Fort Payne MRI, LLC
Facility name
Fort Payne Imaging
Provider ID
P000009219
Tax ID
203489996
Effective Date
9/17/2018
Last Updated
9/18/2018
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
M
Exhibit ID
AM_395
Location Details
Address
1110 Glenn Boulevard SW Suite 100
Fort Payne, AL 35967
United States
County
De Kalb
Phone
2568459402 (Phone)
Billing Details
Address
1110 Glenn Boulevard SW
Suite 100
Fort Payne, AL 35967
Billing Phone
2568459402
Specialty Type
Diagnostic Services
Map
Address