Organization
ALLIANCE HEALTHCARE SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS A. POAN (SR. VP, CORP FINANCE, CHIEF ACC OFF)
(949) 242-5321
Entity
Organization
Contact information
Practice address
1701 E COLLEGE AVE, BLOOMINGTON, IL 61704-2101
(309) 664-3000
Mailing address
100 BAYVIEW CIR, SUITE 400, NEWPORT BEACH, CA 92660-2984
(800) 544-3215
Taxonomy
Speciality
Code
Description
License number
State
261QM1200X
Magnetic Resonance Imaging (MRI) Clinic/Center
Primary
IL-02133-01
IL
Other
Enumeration date
11/29/2006
Last updated
04/15/2009
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