Contract Details
One Call Care Management
Facility name
North Jefferson Imaging
Provider ID
P000002278
NPI
1467490920
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
2217 Decatur Highway Suite 115
Gardendale, AL 35071
United States
County
Jefferson
Phone
8008722875 (Phone)
Billing Details
Address
P.O. Box 614
Parsippany, NJ 07054
Billing Phone
8008722875
Specialty Type
Diagnostic Services
Map
Address