Contract Details
Facility name
Genex Services
Provider ID
P000002155
NPI
1568608156
Tax ID
953327434
Effective Date
5/15/2006
Last Updated
8/20/2015
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
M
Exhibit ID
AM_098
Location Details
Address
600 Vestavia Parkway Suite 210
Birmingham, AL 35216
United States
County
Jefferson
Phone
2058232810 (Phone)
Billing Details
Address
440 East Swedesford Road
Suite 1000
Wayne, PA 19087
Billing Phone
2058232810
Specialty Type
Diagnostic Services
Map
Address