Organization
ALL-STAT PORTABLE IN 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) 337-1401
Entity
Organization
Contact information
Practice address
3201 STELLHORN RD STE A129, FORT WAYNE, IN 46815-4697
(224) 337-1401
(224) 337-0401
Mailing address
8235 CHRISTIANA AVE, SKOKIE, IL 60076-2910
(224) 337-1000
(224) 337-0100
Taxonomy
Speciality
Code
Description
License number
State
261QR0208X
Mobile Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
08/31/2020
Last updated
02/09/2023
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