Contract Details
Brooklyn Nuclear Spect Imaging, PC
Facility name
Quantum Cardiovascular Services
Provider ID
P000006223
Tax ID
113020599
Effective Date
4/1/2012
Last Updated
10/23/2012
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
84.00
Location Details
Address
678 Grand St Floor 1
Brooklyn, NY 11211
United States
County
Kings
Phone
6312582084 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Diagnostic Services
Map
Address