Contract Details
Ancillary Care Services
Facility name
National Imaging Specialists
Provider ID
P000005916
Tax ID
200881710
Effective Date
4/1/2012
Last Updated
9/30/2013
Direct Contract
No
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
84.00
Location Details
Address
6600 66th Street North Suite B
Pinellas Park, FL 33781
United States
County
Pinellas
Phone
8132647176 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Diagnostic Services
Map
Address