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
9/27/2013
Direct Contract
No
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
96.00
Location Details
Address
301 West Main Street
Kingsport, TN 37660
United States
County
Sullivan
Phone
4232246721 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Laboratory Service Provider
Map
Address