Name: MOBILE MOLECULAR IMAGING
Address: 100 MEMORIAL HOSPITAL DR STE 1E, Mobile, 36608-1198, United States
Telephone: 866-214-5920

Contract Details

Direct Pay Provider Network

Facility name

MOBILE MOLECULAR IMAGING

Provider ID

P000000001

Tax ID

273151360

Effective Date

8/28/2023

Direct Contract

Status

Active

Contract Discounts

Discount Type

Exhibit ID

AM_522

Location Details

Address

100 MEMORIAL HOSPITAL DR STE 1E

Mobile, AL 36608-1198

United States

Phone

866-214-5920 (Phone)

Billing Details

Address

P.O. Box 1177

Fairhope, AL 36533

Specialty Type

Diagnostic Services

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