Contract Details
Facility name
Southern Radiology Specialists
Provider ID
P000000001
Tax ID
264385178
Effective Date
2/11/2019
Last Updated
12/6/2023
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
7094 Univsersity Court
Montgomery, AL 36117
United States
Phone
334-271-1345 (Phone)
Billing Details
Address
7094 University Court
Montgomery, AL 36117
Billing Phone
Specialty Type
Diagnostic Services
Website
Map
Address