Organization Name: | ALLIANCE HEALTHCARE SERVICES INC |
NPI Number: | 1154540979 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | HOWARD AIHARA (EXEC VP & CFO) |
Mailing Address: | 3262 N Windsong Dr Prescott Valley |
State: | AZ US |
Postal Code: | 863142255 |
Phone Number: | 9287595800 |
Fax Number: | |
NPI Enumeration Date: | 04/24/2007 |
NPI Last Update Date: | 10/04/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR0208X |
License Number: | 15-078 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Radiology, Mobile |
Taxonomy Definition: |