Randall Wayne    Finley    MD
Contract Details
American Health Imaging of Birmingham
Facility name
Provider ID
P000000540
NPI
1578560553
Tax ID
631226975
Effective Date
2/1/2002
Last Updated
8/23/2017
Direct Contract
Yes
Term Date
8/16/2017
Status
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
Birmingham, AL 35233
Billing Phone
2052511300
Specialty Type
Radiology, Diagnostic
Map
Address