Contract Details
Affinity Orthopedic Services, LLC
Facility name
Lemak Sports Medicine & Orthopedics
Provider ID
P000007557
NPI
1427595511
Tax ID
271162441
Effective Date
6/25/2011
Last Updated
5/21/2017
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
2215 Decatur Highway Suite 117
Gardendale, AL 35071
United States
County
Jefferson
Phone
2056313828 (Phone)
Billing Details
Address
2316 1st Avenue South
Birmingham, AL 35233
Billing Phone
2053297516
Specialty Type
Surgery, Orthopedic
Map
Address