Contract Details
Vestavia Diagnostic Center, LLC
Facility name
Vestavia Diagnostic Center
Provider ID
P000000001
NPI
1649826785
Tax ID
834034134
Effective Date
4/30/2020
Last Updated
5/7/2020
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
M
Exhibit ID
AM_451
Location Details
Address
1021 Montgomery Hwy
Vestavia Hills, AL 35216
United States
Phone
205-971-3356 (Phone)
Billing Details
Address
1021 Montgomery Hwy
Vestavia Hills, AL 35216
Billing Phone
205-971-3356
Specialty Type
Magnetic Resonance Imaging (MRI) Facility
Map
Address