Contract Details
One Call Care Management
Facility name
The Center of Imaging Excellence
Provider ID
P000002454
NPI
1497713382
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
2003-A Whitesburg Drive
Huntsville, AL 35801
United States
County
Madison
Phone
2565363550 (Phone)
Billing Details
Address
P.O. Box 614
Parsippany, NJ 07054
Billing Phone
8008722875
Specialty Type
Diagnostic Services
Map
Address