Contract Details
Medica Imaging, LLC
Facility name
Medica Stand-Up MRI of Birmingham
Provider ID
P000002249
NPI
1609814151
Tax ID
201057126
Effective Date
4/20/2017
Last Updated
4/26/2017
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
M
Exhibit ID
AM_311
Location Details
Address
3105 Independence Drive Suite 101
Birmingham, AL 35209
United States
County
Jefferson
Phone
2058713335 (Phone)
Billing Details
Address
P.O. Box 2901
Kennesaw, GA 30156
Billing Phone
2058713335
Specialty Type
Diagnostic Services
Map
Address