Contract Details
Meditek-Greystone, Inc.
Facility name
ImageSouth Greystone
Provider ID
P000002208
NPI
1952372930
Tax ID
650599317
Effective Date
4/1/1997
Last Updated
4/26/2017
Direct Contract
Term Date
4/19/2017
Status
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
7500 Hugh Daniel Drive Suite 150
Birmingham, AL 35242
United States
County
Shelby
Phone
2059954900 (Phone)
Billing Details
Address
P.O. Box 931080
Atlanta, GA 31193
Billing Phone
Specialty Type
Diagnostic Services
Map
Address