Healthcare Provider Details

I. General information

NPI: 1972470144
Provider Name (Legal Business Name): ALPHA LAB SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/21/2025
Last Update Date: 10/21/2025
Certification Date: 10/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

801 SPRINGDALE DR STE 100Q
EXTON PA
19341-2866
US

IV. Provider business mailing address

801 SPRINGDALE DR STE 100Q
EXTON PA
19341-2866
US

V. Phone/Fax

Practice location:
  • Phone: 945-342-8624
  • Fax:
Mailing address:
  • Phone: 945-342-8624
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: PIYUSH ARUN PATIL
Title or Position: DIRECTOR
Credential: MD
Phone: 945-342-8624