Organization Active NPI

Alliance Evaluation Services LLC

  • Legal Medicine
  • Peoria, AZ
National Provider Identifier
1659728871
Registry record updated May 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Legal MedicineTaxonomy code 173000000X
Legal business name
ALLIANCE EVALUATION SERVICES LLC
Practice address
10586 W Cottontail LN
Peoria, AZ 85383-9660
Phone
(623) 209-7869
NPI assigned
May 17, 2016
Last updated
May 17, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2016

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

Authorized official

Name
Kirk Omalley
Title
President
Phone
(623) 209-7869

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Legal MedicineGroup: 193200000X MULTI-SPECIALTY GROUP 173000000X Primary

Addresses

Primary practice location

10586 W Cottontail LN
Peoria, AZ 85383-9660

Mailing address

18631 N 19TH Ave Ste 158458
Phoenix, AZ 85027-0414
Phone (623) 209-7869

Other identifiers 1

IdentifierTypeStateIssuer
L15882468OtherAZINDEPENDENT MEDICAL EXAMINATION - WORKERS COMP

National Provider Directory

National Provider Directory

Locations

18631 N 19th Ave
Ste 158458
Phoenix, AZ 85027

NPI Registry JSON

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

{
    "created_epoch": "1463443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463443200000",
    "number": "1659728871",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18631 N 19TH AVE STE 158458",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850270414",
            "telephone_number": "623-209-7869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10586 W COTTONTAIL LN",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853839660",
            "telephone_number": "623-209-7869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALLIANCE EVALUATION SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-17",
        "last_updated": "2016-05-17",
        "status": "A",
        "authorized_official_last_name": "OMALLEY",
        "authorized_official_first_name": "KIRK",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "623-209-7869"
    },
    "taxonomies": [
        {
            "code": "173000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Legal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDEPENDENT MEDICAL EXAMINATION - WORKERS COMP",
            "identifier": "L15882468",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Peoria, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.