Contract Details
Ancillary Care Services
Facility name
Solstas Lab Partners
Provider ID
P000005433
NPI
1821128885
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
150 Providence Road
Charlotte, NC 28207
United States
County
Mecklenburg
Phone
7049732385 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Laboratory Service Provider
Map
Address