Contract Details
Facility name
The Radiology Clinic
Provider ID
P000002462
NPI
1649235243
Tax ID
630313602
Effective Date
4/25/2009
Last Updated
7/30/2018
Direct Contract
Yes
Term Date
7/26/2018
Status
Contract Discounts
Discount Type
S
State Fee Schedule Multiplier
80.00
Location Details
Address
208 McFarland Circle North Suite 100
Tuscaloosa, AL 35406
United States
County
Tuscaloosa
Phone
2053457000 (Phone)
Billing Details
Address
208 McFarland Circle North
Suite 100
Tuscaloosa, AL 35406
Billing Phone
2053457000
Specialty Type
Diagnostic Services
Map
Address