Contract Details
Diagnostic Medical Consultants, Inc
Facility name
Universal Medical Radiology
Provider ID
P000006308
Tax ID
223502555
Effective Date
4/1/2012
Last Updated
10/23/2012
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
68.00
Location Details
Address
904 East 83rd St
Brooklyn, NY 11236
United States
County
Kings
Phone
7187632300 (Phone)
Billing Details
Address
5429 LBJ Freeway
Suite 700
Dallas, TX 75240
Specialty Type
Diagnostic Services
Map
Address