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NPI Code Detail

MEDICARE: ALLIANCE HEALTHCARE SERVICES INC

MEDICARE: ALLIANCE HEALTHCARE SERVICES INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QR0208XMobile Radiology Clinic/Center

General Provider Information

NPI Number : 1598603078
Entity Type Code : Organization
Provider Name (Legal Business Name) : ALLIANCE HEALTHCARE SERVICES INC
Provider Business Mailing Address
First Line : 4511 N HIMES AVE STE 260
Second Line :
City : TAMPA
State : FL
Zip : 33614-7073
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 77 W FOREST AVE
Second Line :
City : FLAGSTAFF
State : AZ
Zip : 86001-1479
Country : US
Telephone Number : 754-206-6226
Fax Number :
Authorized Official
Title or Position : VP AND ASSOCIATE GENERAL COUNSEL
Name : GREG GAMBILL
Credential :
Telephone Number : 303-414-2037
Provider Enumeration Date : 03/24/2026
Last Update Date : 05/19/2026

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Directions to “ALLIANCE HEALTHCARE SERVICES INC ” Practice Location

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