Organization
ALPHA DIAGNOSTICS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY TAYLOR DAVIS M.D. (PRESIDENT/CHIEF EXECUTIVE OFFICER)
(855) 257-4239
Entity
Organization
Contact information
Practice address
1112 MONTANA AVE, #900, SANTA MONICA, CA 90403-1652
(855) 257-4239
Mailing address
1112 MONTANA AVE, #900, SANTA MONICA, CA 90403-1652
(855) 257-4239
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
—
—
Other
Enumeration date
10/14/2007
Last updated
02/12/2013
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