Contract Details
One Call Care Management
Facility name
Carmichael Imaging
Provider ID
P000002033
NPI
1497707111
Tax ID
223218521
Effective Date
6/1/1999
Last Updated
6/3/2014
Direct Contract
No
Status
Active
Contract Discounts
Discount Type
M
Exhibit ID
AM_059
Location Details
Address
4145 Carmichael Road
Montgomery, AL 36106
United States
County
Montgomery
Phone
3342732320 (Phone)
Billing Details
Address
P.O. Box 614
Parsippany, NJ 07054
Billing Phone
Specialty Type
Diagnostic Services
Map
Address