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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
W9 Attachment
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
800-328-2536
Specialty Type
Durable Medical Equipment & Medical Supplies