Contract Details
Facility name
Outpatient Diagnostic Center of Huntsville
Provider ID
P000002313
NPI
1811945306
Tax ID
631059483
Effective Date
12/1/1997
Last Updated
5/21/2017
Direct Contract
Term Date
2/18/2014
Status
Contract Discounts
Discount Type
M
Exhibit ID
AM_097
Location Details
Address
115 Saint Clair Avenue Southeast
Huntsville, AL 35801
United States
County
Madison
Phone
2565345600 (Phone)
Billing Details
Address
Healthsouth Diagnostics
PO Box 281206
Atlanta, GA 303841206
Specialty Type
Diagnostic Services
Map
Address