Organization
ALLIANCE HEALTHCARE SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA KASSA (SR VICE PRESIDENT)
(904) 300-2777
Entity
Organization
Contact information
Practice address
355 RIDGE AVE, EVANSTON, IL 60202-3328
(866) 667-7226
Mailing address
8300 W SUNRISE BLVD, PLANTATION, FL 33322-5406
Taxonomy
Speciality
Code
Description
License number
State
261QR0208X
Mobile Radiology Clinic/Center
Primary
IL0213301
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
470001686
RAILROAD MEDICARE
IL
Enumeration date
06/14/2006
Last updated
07/24/2023
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