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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
151 COLONIA DE SALUD, SIERRA VISTA, AZ 85635-8257
(520) 458-4641
Mailing address
8300 W SUNRISE BLVD, PLANTATION, FL 33322-5406

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
218037
AZ
05
53890210
AZ
01
AZ0875400
BLUE CROSS BLUE SHIELD
AZ
Enumeration date
11/06/2006
Last updated
07/24/2023
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