Contract Details
Occupational Solutions, Inc.
Facility name
Dothan Diagnostic Imaging
Provider ID
P000002086
NPI
1972561686
Tax ID
582504238
Effective Date
1/16/2002
Last Updated
8/21/2014
Direct Contract
Yes
Term Date
6/19/2013
Status
Contract Discounts
Discount Type
M
Exhibit ID
AM_065
Location Details
Address
2240 West Main Street
Dothan, AL 36301
United States
County
Houston
Phone
8773024693 (Phone)
Billing Details
Address
4300 North Point Parkway
Alpharetta, GA 30022
Billing Phone
7706190721
Specialty Type
Diagnostic Services
Map
Address