Healthcare Provider Details

I. General information

NPI: 1851444913
Provider Name (Legal Business Name): ALLIANCE DIAGNOSTICS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/19/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1661 E FLAMINGO RD STE 5A
LAS VEGAS NV
89119-5291
US

IV. Provider business mailing address

1661 E FLAMINGO RD STE 5A
LAS VEGAS NV
89119-5291
US

V. Phone/Fax

Practice location:
  • Phone: 702-735-3678
  • Fax: 702-735-1491
Mailing address:
  • Phone: 702-735-3678
  • Fax: 702-735-1491

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code2085U0001X
TaxonomyDiagnostic Ultrasound Physician
License Number
License Number State

VIII. Authorized Official

Name: DIPANJAN DECHOWDHURY
Title or Position: MANAGER
Credential:
Phone: 702-735-3678