Contract Details
One Call Care Management
Facility name
Vestavia MRI
Provider ID
P000002498
NPI
1134172737
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
1360 Montgomery Highway Suite 110
Birmingham, AL 35216
United States
County
Jefferson
Phone
2052634674 (Phone)
Billing Details
Address
P.O. Box 614
Parsippany, NJ 07054
Billing Phone
8008722875
Specialty Type
Diagnostic Services
Map
Address