Contract Details
Bab Radiology
Facility name
Ulster Medical And Surgical Specialists
Provider ID
P000006306
Tax ID
113000301
Effective Date
4/1/2012
Last Updated
10/23/2012
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
84.00
Location Details
Address
150 Sawkill Rd
Kingston, NY 12401
United States
County
Ulster
Phone
8457506977 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Diagnostic Services
Map
Address