# ALPHA ONE IMAGING, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Alpha One Imaging
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508027582
- **Authorized official:** RANDEL WORTHY (ADMINISTRATOR)
- **Authorized official phone:** (225) 590-0790

## Contact information

- **Practice address:** 16511 HIGHLAND CLUB AVE, BATON ROUGE, LA 70817-7020
- **Practice address phone:** (225) 235-0322
- **Mailing address:** 8595 UNITED PLAZA BLVD, BATON ROUGE, LA 70809-2251
- **Mailing address phone:** (225) 590-0790
- **Mailing address fax:** (225) 709-9444

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 9582 | LA | Yes |

## Other

- **Enumeration date:** 06/23/2008
- **Last updated:** 09/08/2021