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
269 S CANDY LN, COTTONWOOD, AZ 86326
(928) 634-2251
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
—
221339
—
AZ
01
—
470001908
RAILROAD MEDICARE
AZ
05
—
553890207
—
AZ
Enumeration date
04/24/2007
Last updated
07/24/2023
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