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Organization
ALPHA DIAGNOSTIC SERVICES INC
Active
Organization
ALPHA DIAGNOSTIC SERVICES INC
Active
Other names
ALPHA DIAGNOSTICS
Organization subpart
No
Provider details
NPI number
Authorized official
RAFAEL CHIKVASHVILI PH.D (PRESIDENT)
(410) 363-4301
Entity
Organization
Contact information
Practice address
105 FARMSTEAD CT, HOCKESSIN, DE 19707-2335
(302) 363-3697
(410) 363-4302
Mailing address
9 GWYNNS MILL CT, SUITE F, OWINGS MILLS, MD 21117-3527
(410) 363-4301
(410) 363-4302
Taxonomy
Speciality
Code
Description
License number
State
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
06-92169-10-000
DE
Other
Enumeration date
12/01/2006
Last updated
10/08/2007
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