Contract Details
One Call Care Management
Facility name
ImageSouth Shelby
Provider ID
P000002210
NPI
1649241639
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
224 1st Street North Suite 150
Alabaster, AL 35007
United States
County
Shelby
Phone
2056634674 (Phone)
Billing Details
Address
P.O. Box 614
Parsippany, NJ 07054
Billing Phone
8008722875
Specialty Type
Diagnostic Services
Map
Address