# ALPHA DIAGNOSTIC SERVICES, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356522999
- **Authorized official:** RAFAEL CHIKVASHVILI PHD (PRESIDENT CEO)
- **Authorized official phone:** (410) 363-4301

## Contact information

- **Practice address:** 9 GWYNNS MILL CT, SUITE F, OWINGS MILLS, MD 21117-3527
- **Practice address phone:** (410) 363-4301
- **Mailing address:** 9 GWYNNS MILL CT, SUITE F, OWINGS MILLS, MD 21117-3527
- **Mailing address phone:** (410) 363-4301

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 000674 | MD | Yes |

## Other

- **Enumeration date:** 11/26/2007
- **Last updated:** 11/26/2007