Contract Details
ADIN Healthcare, Inc.
Facility name
ImageSouth Montclair Road
Provider ID
P000002209
NPI
1114998192
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
924 Montclair Road Suite 108
Birmingham, AL 35213
United States
County
Jefferson
Phone
8666746728 (Phone)
Billing Details
Address
761 Old Hickory Boulevard
Suite 300
Brentwood, TN 37027
Billing Phone
8666746728
Specialty Type
Diagnostic Services
Map
Address