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
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
Map
Address