Organization
ALLIANCE HEALTHCARE SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RHONDA LONGMORE-GRUND (EXEC VP & CFO)
(800) 544-3215
Entity
Organization
Contact information
Practice address
3262 N WINDSONG DR, PRESCOTT VALLEY, AZ 86314-2255
(928) 759-5800
Mailing address
100 BAYVIEW CIR, SUITE 400, NEWPORT BEACH, CA 92660-2983
(800) 544-3215
Taxonomy
Speciality
Code
Description
License number
State
261QR0208X
Mobile Radiology Clinic/Center
Primary
15-078
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
204657
—
AZ
01
—
470001908
RAILROAD MEDICARE
AZ
05
—
53890206
—
AZ
Enumeration date
04/24/2007
Last updated
09/20/2016
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