Organization Name: | ALLIANCE HEALTHCARE SERVICES INC |
NPI Number: | 1083657332 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | HOWARD AIHARA (EXEC VP & CFO) |
Mailing Address: | 12935 Gregory Street Blue Island |
State: | IL US |
Postal Code: | 60406 |
Phone Number: | 7075972000 |
Fax Number: | |
NPI Enumeration Date: | 06/14/2006 |
NPI Last Update Date: | 07/18/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR0208X |
License Number: | IL0213301 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Radiology, Mobile |
Taxonomy Definition: |