Contract Details
ADIN Healthcare, Inc.
Facility name
Opp Imaging Services
Provider ID
P000006819
NPI
1013992023
Tax ID
261285527
Effective Date
7/1/2012
Last Updated
10/13/2015
Direct Contract
Yes
Term Date
10/13/2015
Status
Contract Discounts
Discount Type
M
Exhibit ID
AM_149
Location Details
Address
702 North Main Street
Opp, AL 36467
United States
County
Covington
Phone
8666746728 (Phone)
Billing Details
Address
761 Old Hickory Boulevard
Suite 300
Brentwood, TN 37027
Billing Phone
8666746728
Specialty Type
Diagnostic Services
Map
Address