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General NPI Number Information
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NPI Number | 1124299797
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Entity Type | Organization
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Legal Business Name | ALLIANCE HEALTHCARE SERVICES INC.
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Dates
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Enumeration Date | 03/21/2008
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Last Update Date | 07/24/2023
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Provider Practice Location Address
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Address Line | 1350 WEST COVINA BLVD.
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City | SAN DIMAS
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State | CA
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Zip | 91773
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Country | US
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Telephone | 888-649-8748
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Fax |
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Provider Business Mailing Address
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Address Line | 8300 W SUNRISE BLVD
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City | PLANTATION
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State | FL
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Zip | 33322-5406
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | SR VICE PRESIDENT
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Name | LAURA KASSA
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Credential |
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Telephone | 904-300-2777
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1200X
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Taxonomy Name | Magnetic Resonance Imaging (MRI) Clinic/Center
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License Number |
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License Number State | CA
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