# ALPHA DIAGNOSTIC SERVICES INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** ALPHA DIAGNOSTICS
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437227816
- **Authorized official:** RAFAEL CHIKVASHVILI PH.D (PRESIDENT)
- **Authorized official phone:** (410) 363-4301

## Contact information

- **Practice address:** 105 FARMSTEAD CT, HOCKESSIN, DE 19707-2335
- **Practice address phone:** (302) 363-3697
- **Practice address fax:** (410) 363-4302
- **Mailing address:** 9 GWYNNS MILL CT, SUITE F, OWINGS MILLS, MD 21117-3527
- **Mailing address phone:** (410) 363-4301
- **Mailing address fax:** (410) 363-4302

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 06-92169-10-000 | DE | Yes |

## Other

- **Enumeration date:** 12/01/2006
- **Last updated:** 10/08/2007
