Contract Details
Facility name
Open MRI of Florence
Provider ID
P000002300
NPI
1669533048
Tax ID
631206890
Effective Date
3/15/2003
Last Updated
9/3/2015
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
2701 Mall Road Suite 9
Florence, AL 35630
United States
County
Lauderdale
Phone
2567681005 (Phone)
Billing Details
Address
2701 Mall Road
Suite 9
Florence, AL 35630
Billing Phone
2567681005
Specialty Type
Diagnostic Services
Map
Address