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Contract Details
Facility name
Renaissance Imaging Services
Provider ID
P000002371
NPI
1982748216
Tax ID
205755622
Effective Date
5/15/2007
Last Updated
8/29/2014
Direct Contract
Yes
Status
Active
W9 Attachment
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
85.00
Location Details
Address
2457 Mall Road
Florence, AL 35630
United States
County
Lauderdale
Phone
2562460814
(
Phone
)
Billing Details
Address
2457 Mall Road
Florence, AL 35630
Billing Phone
2562460814
Specialty Type
Magnetic Resonance Imaging (MRI) Facility
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Address