Contract Details
Ancillary Care Services
Facility name
Pom MRI & Imaging Center of Boca Raton
Provider ID
P000005927
Tax ID
203725622
Effective Date
4/1/2012
Last Updated
9/30/2013
Direct Contract
No
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
68.00
Location Details
Address
801 North Federal Highway
Boca Raton, FL 33432
United States
County
Palm Beach
Phone
5615490126 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Diagnostic Services
Map
Address