Organization
ALPHA DIAGNOSTIC SERVICES INC
Active
Other names
ALPHA DIAGNOSTICS
Organization subpart
No
Provider details
NPI number
Authorized official
RAFAEL CHIKVASHVILI PH.D (PRESIDENT)
(410) 363-4301
Entity
Organization
Contact information
Practice address
105 FARMSTEAD CT, HOCKESSIN, DE 19707-2335
(302) 363-3697
(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
06-92169-10-000
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1437227816
—
DE
Enumeration date
12/01/2006
Last updated
10/08/2007
Update your record
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