Organization
ALPHA DIAGNOSTIC SERVICES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAFAEL CHIKVASHVILI PH.D (PRESIDENT-CEO)
(410) 363-4301
Entity
Organization
Contact information
Practice address
105 FARMSTEAD CT, SUITE B, HOCKESSIN, DE 19707-2335
(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
2006601706
DE
Other
Enumeration date
02/26/2008
Last updated
02/26/2008
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