Contract Details
Facility name
Aegis Sciences Corporation
Provider ID
P000001944
NPI
1699782722
Tax ID
880241758
Effective Date
9/8/2009
Last Updated
3/27/2013
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
90.00
Location Details
Address
515 Great Circle Road
Nashville, TN 372281310
United States
County
Davidson
Phone
6152552400 (Phone)
Billing Details
Address
PO Box 306061
Nashville, TN 372306061
Specialty Type
Laboratory Service Provider
Map
Address