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
3700 W HIGHWAY 89A, SEDONA, AZ 86336
(928) 304-3000
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
—
218811
—
AZ
01
—
470001908
RAILROAD MEDICARE
AZ
Enumeration date
04/26/2007
Last updated
07/24/2023
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