Contract Details
One Call Care Management
Facility name
Open MRI of Florence
Provider ID
P000002300
NPI
1669533048
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
2701 Mall Road Suite 9
Florence, AL 35630
United States
County
Lauderdale
Phone
2567681005 (Phone)
Billing Details
Address
P.O. Box 614
Parsippany, NJ 07054
Billing Phone
8008722875
Specialty Type
Diagnostic Services
Map
Address