# ADVANCED PORTABLE X-RAY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1457433526
- **Authorized official:** MR. ETAI SOOLIMAN (CEO)
- **Authorized official phone:** (224) 337-1000

## Contact information

- **Practice address:** 3718 JEFFERSON AVE, TEXARKANA, AR 71854-2244
- **Practice address phone:** (224) 337-1000
- **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 |
| --- | --- | --- | --- | --- |
| 247100000X | Radiologic Technologist | R27937 | AR | — |
| 335V00000X | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | — | NULL | Yes |

## Other

- **Enumeration date:** 10/19/2006
- **Last updated:** 01/02/2025