Healthcare Provider Details

I. General information

NPI: 1629314703
Provider Name (Legal Business Name): ALLEGIANCE RESEARCH SPECIALISTS, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/18/2012
Last Update Date: 12/18/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2645 N MAYFAIR RD SUITE 200
MILWAUKEE WI
53226-1304
US

IV. Provider business mailing address

2645 N MAYFAIR RD SUITE 200
MILWAUKEE WI
53226-1304
US

V. Phone/Fax

Practice location:
  • Phone: 414-727-8131
  • Fax: 414-479-1800
Mailing address:
  • Phone: 414-727-8131
  • Fax: 414-479-1811

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1744R1102X
TaxonomyResearch Study Specialist
License Number
License Number State

VIII. Authorized Official

Name: MR. GUIDO ROSARIO VISCONTI
Title or Position: MANAGING PARTNER
Credential:
Phone: 414-727-8131