Contract Details
ADIN Healthcare, Inc.
Facility name
Northwest Diagnostics
Provider ID
P000006827
NPI
1669560728
Tax ID
261285527
Effective Date
7/1/2012
Last Updated
1/8/2016
Direct Contract
Yes
Term Date
1/8/2016
Status
Contract Discounts
Discount Type
M
Exhibit ID
AM_149
Location Details
Address
42104 Highway 195
Haleyville, AL 35565
United States
County
Winston
Phone
8666746728 (Phone)
Billing Details
Address
761 Old Hickory Boulevard
Suite 300
Brentwood, TN 37027
Billing Phone
8666746728
Specialty Type
Diagnostic Services
Map
Address