Contract Details
Synergy Laboratories, Inc.
Facility name
Synergy Labs
Provider ID
P000009022
NPI
1598142895
Tax ID
472612506
Effective Date
11/29/2017
Last Updated
12/5/2017
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
75.00
Location Details
Address
5570 Rangeline Road
Mobile, AL 36619
United States
County
Mobile
Phone
2516629700 (Phone)
Billing Details
Address
P.O. Box 2184
Birmingham, AL 35203
Billing Phone
8584362967
Specialty Type
Laboratory Service Provider
Map
Address