Organization
ALPHA DIAGNOSTICS LLC
Active
Organization
ALPHA DIAGNOSTICS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAFAEL CHIKVASHVILI PH.D (MANAGING MEMBER)
(410) 363-4301
Entity
Organization
Contact information
Practice address
644 FICKES SCHOOL RD, YORK SPRINGS, PA 17372-9200
(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
207RC0000X
Cardiovascular Disease Physician
—
—
2084N0400X
Neurology Physician
—
—
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
—
2085U0001X
Diagnostic Ultrasound Physician
—
—
Other
Enumeration date
10/18/2010
Last updated
10/18/2010
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