Organization
ALPHA DIAGNOSTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAFAEL CHIKVASHVILI PH.D (OFFICE MANAGER)
(410) 363-4301
Entity
Organization
Contact information
Practice address
2700 MARTIN LUTHER KING JR AVE SE, WASHINGTON, DC 20032-2601
(410) 363-4301
(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
—
—
Other
Enumeration date
10/18/2010
Last updated
10/18/2010
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