Contract Details
Ransom-Heart, Inc.
Facility name
Integrated Magnetic Imaging
Provider ID
P000002216
NPI
1902822471
Tax ID
631199397
Effective Date
4/15/2004
Last Updated
9/19/2018
Direct Contract
Yes
Term Date
9/16/2018
Status
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
7094 University Court
Montgomery, AL 36117
United States
County
Montgomery
Phone
3342711345 (Phone)
Billing Details
Address
7094 University Court
Montgomery, AL 36117
Billing Phone
3342711345
Specialty Type
Diagnostic Services
Map
Address