Contract Details
Memorial MRI & Diagnostic, LLC
Facility name
Memorial MRI & Diagnostic, LLC
Provider ID
P000006581
Tax ID
760677442
Effective Date
4/1/2012
Last Updated
10/23/2012
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
88.00
Location Details
Address
1718 North Fry Rd Suite 350
Houston, TX 77084
United States
County
Harris
Phone
7134613399 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Diagnostic Services
Map
Address