Contract Details
Ancillary Care Services
Facility name
Global Imaging
Provider ID
P000005506
NPI
1861693301
Tax ID
260230562
Effective Date
4/1/2012
Last Updated
10/23/2013
Direct Contract
No
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
88.00
Location Details
Address
11211 South Highway 6 Suite B
Sugar Land, TX 77478
United States
County
Fort Bend
Phone
2813131700 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Diagnostic Services
Map
Address