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
111 W HIGH ST, ELKTON, MD 21921
(410) 620-7553
Mailing address
8300 W SUNRISE BLVD, PLANTATION, FL 33322-5406
Taxonomy
Speciality
Code
Description
License number
State
261QR0208X
Mobile Radiology Clinic/Center
Primary
34-26286-02
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
304428
AMERIGROUP
MD
01
—
348573500
ACS/US DEPT OF LABOR
MD
05
—
405360500
—
MD
01
—
469AAL
CAREFIRST OF MARYLAND INC
MD
01
—
J438
BLUE CHOICE INC.
MD
Enumeration date
06/17/2006
Last updated
07/24/2023
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