Contract Details
Physician Laboratory Services
Facility name
Physician Laboratory Services
Provider ID
P000006632
Tax ID
753051169
Effective Date
4/1/2012
Last Updated
10/23/2012
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
88.00
Location Details
Address
2337 Endeavor Dr Suite C
Laredo, TX 78041
United States
County
Webb
Phone
9567723600 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Laboratory Service Provider
Map
Address