Contract Details
Ancillary Care Services
Facility name
Partners Imaging Center of Sarasota
Provider ID
P000004774
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
1250 South Tamiami Trail Suite 103
Sarasota, FL 34239
United States
County
Sarasota
Phone
9419512100 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Diagnostic Services
Map
Address