# ALL-STAT PORTABLE WI, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ALL-STAT PORTABLE, LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1023642204
- **Legal business name:** ALL-STAT PORTABLE, LLC
- **Authorized official:** MR. ETAI SOOLIMAN (CEO)
- **Authorized official phone:** (224) 337-1199

## Contact information

- **Practice address:** 4811 S 76TH ST \# 405, GREENFIELD, WI 53220-4364
- **Practice address phone:** (224) 337-0073
- **Practice address fax:** (224) 337-0074
- **Mailing address:** 8235 CHRISTIANA AVE, SKOKIE, IL 60076-2910
- **Mailing address phone:** (224) 337-1000
- **Mailing address fax:** (224) 337-0100

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | — | NULL | Yes |

## Other

- **Enumeration date:** 02/27/2020
- **Last updated:** 08/26/2021