Organization Active NPI

Alliance Healthcare Services Inc

  • Mobile Radiology Clinic/Center
  • Prescott Valley, AZ
National Provider Identifier
1154540979
Registry record updated Sep 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mobile Radiology Clinic/CenterTaxonomy code 261QR0208X
License
15-078 Issued in AZ
Legal business name
ALLIANCE HEALTHCARE SERVICES INC
Practice address
3262 N Windsong Dr
Prescott Valley, AZ 86314-2255
Phone
(928) 759-5800
NPI assigned
Apr 24, 2007
Last updated
Sep 20, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 20, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Rhonda Longmore-Grund
Title
Exec VP & Cfo
Phone
(800) 544-3215

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mobile Radiology Clinic/Center 261QR0208X 15-078 AZ Primary

Addresses

Primary practice location

3262 N Windsong Dr
Prescott Valley, AZ 86314-2255

Mailing address

100 Bayview Cir
Suite 400
Newport Beach, CA 92660-2983
Phone (800) 544-3215

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040616000791 AZ Part B Supplier - Independent Diagnostic Testing Facility (Idtf) 4284546870 3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Glendale, AZ

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177372800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1474329600000",
    "number": "1154540979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 BAYVIEW CIR",
            "address_2": "SUITE 400",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926602983",
            "telephone_number": "800-544-3215"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3262 N WINDSONG DR",
            "city": "PRESCOTT VALLEY",
            "state": "AZ",
            "postal_code": "863142255",
            "telephone_number": "928-759-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIANCE HEALTHCARE SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-24",
        "last_updated": "2016-09-20",
        "status": "A",
        "authorized_official_last_name": "LONGMORE-GRUND",
        "authorized_official_first_name": "RHONDA",
        "authorized_official_title_or_position": "EXEC VP & CFO",
        "authorized_official_telephone_number": "800-544-3215"
    },
    "taxonomies": [
        {
            "code": "261QR0208X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Radiology, Mobile",
            "state": "AZ",
            "license": "15-078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Prescott Valley, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.