Contract Details
Fast360, LLC
Facility name
Open Air MRI of Troy
Provider ID
P000002295
NPI
1992797823
Tax ID
460926698
Effective Date
1/1/2017
Last Updated
5/21/2017
Direct Contract
No
Status
Active
Contract Discounts
Discount Type
M
Exhibit ID
AM_312
Location Details
Address
1001 South Franklin Drive
Troy, AL 36081
United States
County
Pike
Phone
8666746728 (Phone)
Billing Details
Address
761 Old Hickory Boulevard
Suite 300
Brentwood, TN 37027
Billing Phone
8666746728
Specialty Type
Diagnostic Services
Map
Address