Contract Details
Ancillary Care Services
Facility name
Open MRI of Naples
Provider ID
P000003662
NPI
1033224027
Tax ID
650662408
Effective Date
4/1/2012
Last Updated
10/2/2013
Direct Contract
No
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
68.00
Location Details
Address
9935 Tamiami Trail North
Naples, FL 34108
United States
County
Collier
Phone
2395929190 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Diagnostic Services
Map
Address