Contract Details
Highway Imaging Associates, LLP
Facility name
Highway Imaging Associates LLP
Provider ID
P000004945
NPI
1619124963
Tax ID
112714174
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
1414 Newkirk Ave
Brooklyn, NY 11226
United States
County
Kings
Phone
7189549470 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Diagnostic Services
Map
Address