Contract Details
One Call Care Management
Facility name
Vestavia Hills Imaging Center
Provider ID
P000002497
NPI
1902859937
Tax ID
223218521
Effective Date
6/1/1999
Last Updated
10/13/2015
Direct Contract
No
Status
Active
Contract Discounts
Discount Type
M
Exhibit ID
AM_059
Location Details
Address
2017 Canyon Road Suite 25
Birmingham, AL 35216
United States
County
Jefferson
Phone
2058248262 (Phone)
Billing Details
Address
P.O. Box 614
Parsippany, NJ 07054
Billing Phone
Specialty Type
Diagnostic Services
Map
Address