Organization
ALL-STAT PORTABLE WI, LLC
Active
Parent organization
ALL-STAT PORTABLE, LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ALL-STAT PORTABLE, LLC
Authorized official
MR. ETAI SOOLIMAN (CEO)
(224) 337-1199
Entity
Organization
Contact information
Practice address
4811 S 76TH ST # 405, GREENFIELD, WI 53220-4364
(224) 337-0073
(224) 337-0074
Mailing address
8235 CHRISTIANA AVE, SKOKIE, IL 60076-2910
(224) 337-1000
(224) 337-0100
Taxonomy
Speciality
Code
Description
License number
State
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
—
—
Other
Enumeration date
02/27/2020
Last updated
08/26/2021
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