Contract Details
Facility name
Lifewatch Inc
Provider ID
P000004126
NPI
1255367843
Tax ID
522212112
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
10255 West Higgins Rd Suite 120
Rosemont, IL 60018
United States
County
Cook
Phone
8668043609 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Cardiac Monitoring
Map
Address