Contract Details
Ancillary Care Services
Facility name
Partners Imaging Center of Naples
Provider ID
P000004136
NPI
1255654380
Tax ID
204363724
Effective Date
4/1/2012
Last Updated
9/30/2013
Direct Contract
No
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
76.00
Location Details
Address
730 Goodlette Road Suite 101
Naples, FL 34102
United States
County
Collier
Phone
2392625151 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Diagnostic Services
Map
Address