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
7300 VAN DUSEN RD, LAUREL, MD 20707-9266
(301) 725-4300
Mailing address
8300 W SUNRISE BLVD, PLANTATION, FL 33322-5406
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
304428
AMERIGROUP
MD
01
—
469AAL
CAREFIRST OF MARYLAND, IN
MD
Enumeration date
06/11/2006
Last updated
07/24/2023
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