Contract Details
Facility name
Vestavia Hills Imaging Center
Provider ID
P000002497
NPI
1902859937
Tax ID
202640268
Effective Date
9/28/2011
Last Updated
5/22/2018
Direct Contract
Yes
Term Date
5/17/2018
Status
Contract Discounts
Discount Type
M
Exhibit ID
AM_066
Location Details
Address
2017 Canyon Road Suite 25
Birmingham, AL 35216
United States
County
Jefferson
Phone
2058248262 (Phone)
Billing Details
Address
2017 Canyon Road
Suite 25
Birmingham, AL 35216
Billing Phone
2058248262
Specialty Type
Magnetic Resonance Imaging (MRI) Facility
Map
Address