Alliance Medical Consulting, LLC

Primary specialty

Portable X-ray and/or Other Portable Diagnostic Imaging SupplierTaxonomy code 335V00000X

Legal business name

ALLIANCE MEDICAL CONSULTING, LLC

Practice address

3500 Lenox Rd NE Ste 1500
Atlanta, GA 30326-4231

Phone

(833) 822-0010

Fax

(800) 343-2107

NPI assigned

Apr 10, 2018

Last updated

Mar 20, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Gary Warren Gillman Jr.

Title

Owner

Phone

(833) 822-0100

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1523318400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553040000000",
    "number": "1760989347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7450 CHATEAU RIDGE LN",
            "city": "RIVERSIDE",
            "state": "CA",
            "postal_code": "925067545",
            "telephone_number": "951-858-5439",
            "fax_number": "800-343-2107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 LENOX RD NE STE 1500",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303264231",
            "telephone_number": "833-822-0010",
            "fax_number": "800-343-2107"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "220 S Glendora Ave Ste A",
            "address_purpose": "LOCATION",
            "city": "Glendora",
            "state": "CA",
            "postal_code": "917413439",
            "country_code": "US",
            "telephone_number": "833-822-0100",
            "fax_number": "800-343-2107",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7450 Chateau Ridge Ln",
            "address_purpose": "LOCATION",
            "city": "Riverside",
            "state": "CA",
            "postal_code": "925067545",
            "country_code": "US",
            "telephone_number": "951-858-5439",
            "fax_number": "800-343-2107",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1039 E Freeway Dr SE",
            "address_purpose": "LOCATION",
            "city": "Conyers",
            "state": "GA",
            "postal_code": "300945965",
            "country_code": "US",
            "telephone_number": "833-822-0010",
            "fax_number": "800-343-2107",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ALLIANCE MEDICAL CONSULTING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-10",
        "last_updated": "2019-03-20",
        "status": "A",
        "authorized_official_last_name": "GILLMAN",
        "authorized_official_first_name": "GARY",
        "authorized_official_middle_name": "WARREN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "833-822-0100",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "293D00000X",
            "taxonomy_group": "",
            "desc": "Physiological Laboratory",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": "CA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Atlanta, GA
• Providers in Atlanta, GA by specialty
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2019; 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.