Healthcare Provider Details

I. General information

NPI: 1982919411
Provider Name (Legal Business Name): ALLIANCE HEALTHCARE SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/09/2010
Last Update Date: 02/09/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4520 E GRANT RD STE 100
TUCSON AZ
85712-2637
US

IV. Provider business mailing address

100 BAYVIEW CIR SUITE 400
NEWPORT BEACH CA
92660-2983
US

V. Phone/Fax

Practice location:
  • Phone: 520-289-8089
  • Fax: 520-289-8090
Mailing address:
  • Phone: 800-544-3215
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM1200X
TaxonomyMagnetic Resonance Imaging (MRI) Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: NICHOLAS A POAN
Title or Position: SVP CORPORATE FINANCE
Credential:
Phone: 949-242-5321