Provider Demographics
NPI:1093390486
Name:ALLIANCE RAPID TESTING LAB LLC
Entity Type:Organization
Organization Name:ALLIANCE RAPID TESTING LAB LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:SIENNA
Authorized Official - Middle Name:
Authorized Official - Last Name:STECKEL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:650-219-6769
Mailing Address - Street 1:5640 COLLINS AVE APT 3A
Mailing Address - Street 2:
Mailing Address - City:MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33140-2436
Mailing Address - Country:US
Mailing Address - Phone:646-283-5485
Mailing Address - Fax:
Practice Address - Street 1:586 NW 27TH ST STE B
Practice Address - Street 2:
Practice Address - City:MIAMI
Practice Address - State:FL
Practice Address - Zip Code:33127-4128
Practice Address - Country:US
Practice Address - Phone:646-283-5485
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-16
Last Update Date:2023-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty
No261Q00000XAmbulatory Health Care FacilitiesClinic/CenterGroup - Single Specialty