Contract Details
One Call Care Management
Facility name
ImageSouth 280
Provider ID
P000002308
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
Location Details
Address
2737 Highway 280 Suite 141
Birmingham, AL 35223
United States
County
Jefferson
Phone
8008722875 (Phone)
Billing Details
Address
P.O. Box 614
Parsippany, NJ 07054
Billing Phone
Specialty Type
Diagnostic Services
Map
Address