Contract Details
One Call Care Management
Facility name
Montgomery Imaging Center
Provider ID
P000002269
NPI
1801823141
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
2055 Normandie Drive Suite 108
Montgomery, AL 36111
United States
County
Montgomery
Phone
3342884624 (Phone)
Billing Details
Address
P.O. Box 614
Parsippany, NJ 07054
Billing Phone
8008722875
Specialty Type
Diagnostic Services
Map
Address