Contract Details
Facility name
Valley Radiology
Provider ID
P000007471
NPI
1083674287
Tax ID
630630858
Effective Date
12/1/1993
Last Updated
9/13/2013
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
F
Fee Schedule Name
103.00
Fee Schedule Multiplier
Location Details
Address
1108 South Broad Street
Scottsboro, AL 35768
United States
County
Jackson
Phone
2562592323 (Phone)
Billing Details
Address
1108 South Broad Street
Scottsboro, AL 35768
Billing Phone
2562592323
Specialty Type
Diagnostic Services
Map
Address