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Organization

ALPHA DIAGNOSTIC SERVICES, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RAFAEL CHIKVASHVILI PHD (PRESIDENT CEO)
(410) 363-4301
Entity
Organization

Contact information

Practice address
2700 MARTIN LUTHER KING JR AVE SE, BLDG CT8 ROOM 3, 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
000674
MD

Other

Enumeration date
11/26/2007
Last updated
11/26/2007
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