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Contract Details
Ancillary Care Services
Facility name
Solstas Lab Partners Group
Provider ID
P000005575
NPI
1902095284
Tax ID
203159634
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
900 East Oak Hill Avenue
Knoxville, TN 37917
United States
County
Knox
Phone
8655458096
(
Phone
)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Laboratory Service Provider
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Address