# ALLIANCE HEALTHCARE SERVICES INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760614150
- **Authorized official:** LAURA KASSA (SR VICE PRESIDENT)
- **Authorized official phone:** (904) 300-2777

## Contact information

- **Practice address:** 15630 18TH AVE, CLEARLAKE, CA 95422
- **Practice address phone:** (707) 994-6486
- **Practice address fax:** (707) 994-3516
- **Mailing address:** 8300 W SUNRISE BLVD, PLANTATION, FL 33322-5406

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1200X | Magnetic Resonance Imaging (MRI) Clinic/Center | — | CA | Yes |

## Other

- **Enumeration date:** 08/18/2009
- **Last updated:** 07/24/2023