Contract Details
Facility name
Metro Infectious Disease Consultants
Provider ID
P000000001
NPI
1235125717
Tax ID
363966745
Effective Date
2/1/2024
Last Updated
2/22/2024
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
F
Fee Schedule Name
107.00
Fee Schedule Multiplier
Location Details
Address
4704 Cahaba River Road Suite 101-D
Birmingham, AL 35243
United States
Phone
205-739-2266 (Phone)
Billing Details
Address
901 McClintock Drive
Suite 202
Burr Ridge, IL 60527
Billing Phone
888-220-6432
Specialty Type
Infectious Diseases
Map
Address