Contract Details
Open MRI of Shelby, LLC
Facility name
ImageSouth Shelby
Provider ID
P000002210
NPI
1649241639
Tax ID
651128122
Effective Date
4/20/2017
Last Updated
8/17/2017
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
M
Exhibit ID
AM_341
Location Details
Address
224 1st Street North Suite 150
Alabaster, AL 35007
United States
County
Shelby
Phone
2056634674 (Phone)
Billing Details
Address
P.O. Box 932545
Atlanta, GA 31193
Billing Phone
2059959899
Specialty Type
Diagnostic Services
Map
Address