Contract Details
Facility name
Radiology Associates of Birmingham
Provider ID
P000002358
NPI
1093778706
Tax ID
630574300
Effective Date
6/7/2001
Last Updated
9/3/2015
Direct Contract
Yes
Status
Active
Contract Discounts
Discount Type
F
Fee Schedule Name
103.00
Fee Schedule Multiplier
Location Details
Address
2204 Lakeshore Drive Suite 140
Birmingham, AL 35209
United States
County
Jefferson
Phone
2058248000 (Phone)
Billing Details
Address
P.O. Box 2153
Department 3298
Birmingham, AL 35287
Billing Phone
2058248000
Specialty Type
Diagnostic Services
Map
Address