Alpha Medical PA

Primary specialty

Clinical Medical LaboratoryTaxonomy code 291U00000X

License

L8832 Issued in FL

Legal business name

ALPHA MEDICAL PA

Practice address

20 E Melbourne Ave
#104
Melbourne, FL 32901-5970

Phone

(321) 951-7404

NPI assigned

Jun 25, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Rajiv Chandra

Title

Director

Phone

(321) 951-7404

Specialties & licenses 1

Addresses

Other identifiers 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1214352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214352000000",
    "number": "1255593877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 E MELBOURNE AVE",
            "address_2": "#104",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329015970",
            "telephone_number": "321-951-7404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 E MELBOURNE AVE",
            "address_2": "#104",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329015970",
            "telephone_number": "321-951-7404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPHA MEDICAL PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-06-25",
        "last_updated": "2008-06-25",
        "status": "A",
        "authorized_official_last_name": "CHANDRA",
        "authorized_official_first_name": "RAJIV",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "321-951-7404"
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "FL",
            "license": "L8832",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA #",
            "identifier": "10D0275742",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Himer Rudy Alminana, LCSW
• Francesca Almonte
• Andrea Susana Rita Alonso Succar
• Amanda Lynn Alonso, COTA/L
• Alpha Homecare & Therapy Agency LLC
• Alphadocs LLC
• Alphamedics Inc
• Niroj Alsuleivani, PA-C
• Ellen M Altenburg, MD
• Kimberly L Alter

• Clinical Medical Laboratory in Melbourne, FL
• Providers in Melbourne, FL by specialty
• Clinical Medical Laboratory in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.