Contract Details
Ancillary Care Services
Facility name
Salisbury Imaging Center
Provider ID
P000005861
Tax ID
043747138
Effective Date
4/1/2012
Last Updated
9/30/2013
Direct Contract
No
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
84.00
Location Details
Address
4063 Salisbury Road Suite 100
Jacksonville, FL 32216
United States
County
Duval
Phone
9042810133 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Diagnostic Services
Map
Address