Organization
CAVALIER MOBILE XRAY CO
Active
Parent organization
ALL-STAT PORTABLE, LLC
Other names
ALL-STAT PORTABLE WV
Organization subpart
Yes
Provider details
NPI number
Legal business name
ALL-STAT PORTABLE, LLC
Authorized official
ETAI SOOLIMAN (CEO)
(224) 337-1199
Entity
Organization
Contact information
Practice address
2089 NATIONAL RD, WHEELING, WV 26003-5240
(330) 726-0202
(330) 726-0270
Mailing address
8235 CHRISTIANA AVE, SKOKIE, IL 60076-2910
(224) 337-1197
(330) 726-0270
Taxonomy
Speciality
Code
Description
License number
State
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6803009000
—
WV
Enumeration date
05/18/2006
Last updated
02/23/2023
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