Contract Details
Metro Infusion Center
Facility name
Metro Infectious Disease Consultants
Provider ID
P000008045
NPI
1659702223
Tax ID
363966745
Effective Date
8/1/2018
Last Updated
11/2/2018
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
F
Fee Schedule Name
107.00
Fee Schedule Multiplier
Location Details
Address
2700 Rogers Drive Suite 209
Birmingham, AL 35209
United States
County
Jefferson
Phone
8774483627 (Phone)
Billing Details
Address
901 McClintock Drive
Suite 202
Burr Ridge, IL 60527
Billing Phone
8882206432
Specialty Type
Infectious Diseases
Map
Address