Basic Information
| Provider Information | |||||||||
| NPI: | 1528574043 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | ALLIANCE MEDICAL ANALYTICS, LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 550 N CENTRAL EXPY UNIT 2486 | ||||||||
| Address2: | |||||||||
| City: | MCKINNEY | ||||||||
| State: | TX | ||||||||
| PostalCode: | 750700134 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7204436110 | ||||||||
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| Address1: | 550 N CENTRAL EXPY UNIT 2486 | ||||||||
| Address2: | |||||||||
| City: | MCKINNEY | ||||||||
| State: | TX | ||||||||
| PostalCode: | 750700134 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7204436110 | ||||||||
| FaxNumber: | 6093535213 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/20/2017 | ||||||||
| LastUpdateDate: | 02/16/2018 | ||||||||
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| AuthorizedOfficialLastName: | SHINN | ||||||||
| AuthorizedOfficialFirstName: | DOREEN | ||||||||
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| AuthorizedOfficialTitleorPosition: | VP | ||||||||
| AuthorizedOfficialTelephone: | 3037044621 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 204R00000X | Y | 193200000X MULTI-SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Electrodiagnostic Medicine |
No ID Information.