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
2415 University Parkway Building 3, Suite 219
Sarasota, FL 34243
United States
County
Manatee
Phone
9417571044 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Diagnostic Services
Map
Address