Contract Details
Ancillary Care Services
Facility name
Solstas Lab Partners Group
Provider ID
P000006170
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
10410 Park Road Suite 400
Charlotte, NC 28210
United States
County
Mecklenburg
Phone
7045425091 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Laboratory Service Provider
Map
Address