# ALL-STAT PORTABLE MD LLC

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

## Provider details

- **NPI number:** 1568061869
- **Legal business name:** ALL-STAT PORTABLE LLC
- **Authorized official:** MR. ETAI SOOLIMAN (CEO)
- **Authorized official phone:** (224) 337-1199

## Contact information

- **Practice address:** 5010 SUNNYSIDE AVE, STE 305, BELTSVILLE, MD 20705-2320
- **Practice address phone:** (301) 680-1900
- **Practice address fax:** (301) 680-0920
- **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 |
| --- | --- | --- | --- | --- |
| 261QR0208X | Mobile Radiology Clinic/Center | — | NULL | Yes |
| 293D00000X | Physiological Laboratory | — | NULL | — |

## Other

- **Enumeration date:** 10/19/2020
- **Last updated:** 05/29/2025