Organization
ADVANCED PORTABLE X-RAY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ETAI SOOLIMAN (CEO)
(224) 337-1000
Entity
Organization
Contact information
Practice address
3718 JEFFERSON AVE, TEXARKANA, AR 71854-2244
(224) 337-1000
Mailing address
8235 CHRISTIANA AVE, SKOKIE, IL 60076-2910
(224) 337-1000
(224) 337-0100
Taxonomy
Speciality
Code
Description
License number
State
247100000X
Radiologic Technologist
R27937
AR
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
150549710
—
AR
Enumeration date
10/19/2006
Last updated
01/02/2025
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