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Scott
B
Loveless
MD
Contract Details
American Health Imaging of Birmingham
Facility name
Provider ID
P000001016
NPI
1659378636
Tax ID
631226975
Effective Date
2/1/2002
Last Updated
8/23/2017
Direct Contract
Yes
Term Date
8/16/2017
Status
W9 Attachment
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
2101 4th Avenue South Suite 100
Birmingham, AL 35233
United States
County
Jefferson
Phone
2052511300
(
Phone
)
Billing Details
Address
2101 4th Avenue South
Suite 100
Birmingham, AL 35233
Billing Phone
2052511300
Specialty Type
Radiology, Diagnostic
Map
Address