Donald James    Reynolds  Jr  DO
Contract Details
Open MRI of Jasper
Facility name
Provider ID
P000001452
NPI
1659353886
Tax ID
202513140
Effective Date
3/1/2006
Last Updated
6/10/2016
Direct Contract
Term Date
6/24/2013
Status
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
301 North Walston Bridge Road Suite 104
Jasper, AL 35504
United States
County
Walker
Phone
2053870977 (Phone)
Billing Details
Address
P.O. Box 2153
Department 5111
Birmingham, AL 35287
Specialty Type
Radiology, Diagnostic
Map
Address