Alpha Diagnostic Services, Inc

Primary specialty

Portable X-ray and/or Other Portable Diagnostic Imaging SupplierTaxonomy code 335V00000X

License

000674 Issued in MD

Legal business name

ALPHA DIAGNOSTIC SERVICES, INC

Practice address

2700 Martin Luther King Jr Ave SE
BLDG CT8 Room 3
Washington, DC 20032-2601

Phone

(410) 363-4301

Fax

(410) 363-4302

NPI assigned

Nov 26, 2007

Organization subpart

No

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

Authorized official

Name

Rafael Chikvashvili, PHD

Title

President Ceo

Phone

(410) 363-4301

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1196035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196035200000",
    "number": "1629259262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 GWYNNS MILL CT",
            "address_2": "SUITE F",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211173527",
            "telephone_number": "410-363-4301",
            "fax_number": "410-363-4302"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 MARTIN LUTHER KING JR AVE SE",
            "address_2": "BLDG CT8 ROOM 3",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200322601",
            "telephone_number": "410-363-4301",
            "fax_number": "410-363-4302"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPHA DIAGNOSTIC SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-26",
        "last_updated": "2007-11-26",
        "status": "A",
        "authorized_official_last_name": "CHIKVASHVILI",
        "authorized_official_first_name": "RAFAEL",
        "authorized_official_title_or_position": "PRESIDENT CEO",
        "authorized_official_telephone_number": "410-363-4301",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "335V00000X",
            "taxonomy_group": "",
            "desc": "Portable X-ray and/or Other Portable Diagnostic Imaging Supplier",
            "state": "MD",
            "license": "000674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in Washington, DC
• Providers in Washington, DC by specialty
• Portable X-ray and/or Other Portable Diagnostic Imaging Supplier in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.