Contract Details
ADIN Healthcare, Inc.
Facility name
High Tech Imaging Center
Provider ID
P000002192
NPI
1588753297
Tax ID
261285527
Effective Date
7/1/2012
Last Updated
5/21/2017
Direct Contract
Yes
Term Date
12/31/2016
Status
Contract Discounts
Discount Type
M
Exhibit ID
AM_149
Location Details
Address
1510 Forest Avenue
Montgomery, AL 36106
United States
County
Montgomery
Phone
8666746728 (Phone)
Billing Details
Address
761 Old Hickory Boulevard
Suite 300
Brentwood, TN 37027
Billing Phone
8666746728
Specialty Type
Diagnostic Services
Map
Address