# ALPHA DIAGNOSTICS LLC

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

## Provider details

- **NPI number:** 1912217555
- **Authorized official:** RAFAEL CHIKVASHVILI PH.D (MANAGING MEMBER)
- **Authorized official phone:** (410) 363-4301

## Contact information

- **Practice address:** 105 FARMSTEAD CT, HOCKESSIN, DE 19707-2335
- **Practice address phone:** (410) 363-4301
- **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 | — | NULL | Yes |

## Other

- **Enumeration date:** 10/18/2010
- **Last updated:** 10/18/2010