Contract Details
Facility name
Cahaba Valley Imaging
Provider ID
P000002030
NPI
1215268446
Tax ID
263957351
Effective Date
2/15/2011
Last Updated
9/3/2015
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
201 Racquet Club Lane
Pelham, AL 35124
United States
County
Shelby
Phone
2056203830 (Phone)
Billing Details
Address
201 Racquet Club Lane
Pelham, AL 35124
Billing Phone
2056203830
Specialty Type
Diagnostic Services
Map
Address