Contract Details
Ancillary Care Services
Facility name
Solstas Lab Partners Group
Provider ID
P000004316
NPI
1346233277
Tax ID
562017400
Effective Date
4/1/2012
Last Updated
10/16/2013
Direct Contract
No
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
96.00
Location Details
Address
601 North 8th Street Suite B
Smithfield, NC 27577
United States
County
Johnston
Phone
9199349012 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Laboratory Service Provider
Map
Address