Contract Details
Direct Pay Provider Network
Facility name
VESTAVIA MRI LLC
Provider ID
P000000001
Tax ID
273151360
Effective Date
8/28/2023
Direct Contract
No
Status
Active
Contract Discounts
Discount Type
M
Exhibit ID
AM_522
Location Details
Address
1360 MONTGOMERY HWY STE 110
Vestavia Hills, AL 35216-2750
United States
Phone
866-214-5920 (Phone)
Billing Details
Address
P.O. Box 1177
Fairhope, AL 36533
Specialty Type
Diagnostic Services
Website
Visit Website
Map
Address