Contract Details
ADIN Healthcare, Inc.
Facility name
North Jefferson Imaging
Provider ID
P000002278
NPI
1467490920
Tax ID
261285527
Effective Date
7/1/2012
Last Updated
5/21/2017
Direct Contract
Yes
Term Date
12/31/2016
Status
Contract Discounts
Discount Type
M
Exhibit ID
AM_149
Location Details
Address
2217 Decatur Highway Suite 115
Gardendale, AL 35071
United States
County
Jefferson
Phone
8666746728 (Phone)
Billing Details
Address
761 Old Hickory Boulevard
Suite 300
Brentwood, TN 37027
Billing Phone
Specialty Type
Diagnostic Services
Map
Address