Organization
CAVALIER MOBILE XRAY CO
Active
Other names
All-Stat Portable OH, All-Stat Portable WV
Organization subpart
No
Provider details
NPI number
Authorized official
ETAI SOOLIMAN (CEO)
(224) 337-1199
Entity
Organization
Contact information
Practice address
590 E WESTERN RESERVE RD, UNIT 10D, YOUNGSTOWN, OH 44514-3354
(330) 726-0202
(330) 726-0270
Mailing address
8235 CHRISTIANA AVE, SKOKIE, IL 60076-2910
(224) 337-1197
(224) 337-0197
Taxonomy
Speciality
Code
Description
License number
State
2471S1302X
Sonography Radiologic Technologist
Primary
R2377049
OH
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0783728
—
OH
Enumeration date
01/25/2007
Last updated
02/23/2023
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