Alliance Healthcare Services INC
Clinic/Center, Magnetic Resonance Imaging (MRI) in Clearlake, CA. Organization (NPI-2).
NPI number1760614150
StatusActive
Last updated in NPPESJul 24, 2023
Details
- NPI
- 1760614150
- Entity type
- Organization (NPI-2)
- Legal business name
- Alliance Healthcare Services INC
- Organization subpart
- No
- Enumeration date
- Aug 18, 2009
- Certification date
- Jul 24, 2023
- Last updated
- Jul 24, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM1200X | Clinic/Center, Magnetic Resonance Imaging (MRI) | – | CA | Yes |
Practice location
15630 18th AveClearlake, CA 95422
Phone 707-994-6486 · Fax 707-994-3516
Mailing address
8300 W Sunrise BlvdPlantation, FL 33322-5406
Authorized official
Laura Kassa
Sr Vice President
9043002777
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