Healthcare Provider Details

I. General information

NPI: 1952311888
Provider Name (Legal Business Name): ALLIANCE HEALTHCARE SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/09/2006
Last Update Date: 10/04/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1313 FISH HATCHERY RD
MADISON WI
53715-1911
US

IV. Provider business mailing address

100 BAYVIEW CIRCLE SUITE 400
NEWPORT BEACH CA
92660-2984
US

V. Phone/Fax

Practice location:
  • Phone: 608-252-8112
  • Fax:
Mailing address:
  • Phone: 800-544-3215
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0208X
TaxonomyMobile Radiology Clinic/Center
License Number043-2024-01
License Number StateWI

VIII. Authorized Official

Name: HOWARD AIHARA
Title or Position: EXEC VP & CFO
Credential:
Phone: 800-544-3215