Name: Med Tech Imaging Center
Address: 102 Medical Center Drive Suite B, Prattville, 36066, United States
Telephone: 334-358-1666

Contract Details

Med Tech Imaging Center, LLC

Facility name

Med Tech Imaging Center

Provider ID

P000000001

NPI

1639678550

Tax ID

815350229

Effective Date

1/20/2021

Last Updated

1/27/2021

Direct Contract

Yes

Status

Active

Contract Discounts

Discount Type

Exhibit ID

AM_471

Location Details

Address

102 Medical Center Drive Suite B

Prattville, AL 36066

United States

Phone

334-358-1666 (Phone)

Billing Details

Address

P.O. Box 680066

Prattville, AL 36067

Billing Phone

Specialty Type

Diagnostic Services

Workers Comp Coordinator

Sissy

Moseley

334-358-1666

medtechimagingsissy@gmail.com

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