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Contract Details
One Call Care Management
Facility name
Florence MRI Diagnostic
Provider ID
P000002143
NPI
1326040379
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
AM_059
Location Details
Address
552 West Alabama Street
Florence, AL 35630
United States
County
Lauderdale
Phone
8008722875
(
Phone
)
Billing Details
Address
P.O. Box 614
Parsippany, NJ 07054
Billing Phone
8008722875
Specialty Type
Diagnostic Services
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Address