Contract Details
IMI Radiology, PLLC
Facility name
IMI Radiology
Provider ID
P000009222
Tax ID
472248732
Effective Date
9/17/2018
Last Updated
9/19/2018
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
M
Exhibit ID
AM_398
Location Details
Address
7100 University Court
Montgomery, AL 36117
United States
County
Montgomery
Phone
3342711345 (Phone)
Billing Details
Address
7100 University Court
Montgomery, AL 36117
Billing Phone
3342711345
Specialty Type
Diagnostic Services
Map
Address