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
Status
Active
Contract Discounts
Discount Type
M
Exhibit ID
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
Specialty Type
Diagnostic Services
Map
Address