Provider Demographics
NPI:1841603503
Name:ALLIANCE IMAGING
Entity Type:Organization
Organization Name:ALLIANCE IMAGING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PET TECH
Authorized Official - Prefix:
Authorized Official - First Name:RANDY
Authorized Official - Middle Name:
Authorized Official - Last Name:INGLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:828-234-7402
Mailing Address - Street 1:4416 HALL DAIRY RD
Mailing Address - Street 2:
Mailing Address - City:CLAREMONT
Mailing Address - State:NC
Mailing Address - Zip Code:28610-9656
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4416 HALL DAIRY RD
Practice Address - Street 2:
Practice Address - City:CLAREMONT
Practice Address - State:NC
Practice Address - Zip Code:28610-9656
Practice Address - Country:US
Practice Address - Phone:828-234-7402
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-06-10
Last Update Date:2014-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital