Contract Details
Fast360, LLC
Facility name
Outpatient Diagnostic Center of Athens
Provider ID
P000008362
NPI
1407247943
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
22281 Highway 72 East Suites B & C
Athens, AL 35613
United States
County
Limestone
Phone
8666746728 (Phone)
Billing Details
Address
761 Old Hickory Boulevard
Suite 300
Brentwood, TN 37027
Billing Phone
8666746728
Specialty Type
Diagnostic Services
Map
Address