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NPI Code Detail

MEDICARE: ALLIANCE HEALTHCARE SERVICES INC

MEDICARE: ALLIANCE HEALTHCARE SERVICES INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QR0208XMobile Radiology Clinic/CenterIL0213301IL

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1470001686OTHERILRAILROAD MEDICARE

General Provider Information

NPI Number : 1083657332
Entity Type Code : Organization
Provider Name (Legal Business Name) : ALLIANCE HEALTHCARE SERVICES INC
Provider Business Mailing Address
First Line : 8300 W SUNRISE BLVD
Second Line :
City : PLANTATION
State : FL
Zip : 33322-5406
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 355 RIDGE AVE
Second Line :
City : EVANSTON
State : IL
Zip : 60202-3328
Country : US
Telephone Number : 866-667-7226
Fax Number :
Authorized Official
Title or Position : SR VICE PRESIDENT
Name : LAURA KASSA
Credential :
Telephone Number : 904-300-2777
Provider Enumeration Date : 06/14/2006
Last Update Date : 07/24/2023

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Directions to “ALLIANCE HEALTHCARE SERVICES INC ” Practice Location

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