Contract Details
Motion Parent, Inc.
Facility name
DJO, LLC
Provider ID
P000002075
NPI
1497731533
Tax ID
522165554
Effective Date
3/25/2011
Last Updated
1/6/2021
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
2900 Lake Vista Drive
Lewisville, TX 75067
United States
County
Ramsey
Phone
800-328-2536 (Phone)
Billing Details
Address
2900 Lake Vista Drive
Lewisville, TX 75067
Billing Phone
Specialty Type
Durable Medical Equipment & Medical Supplies