Organization
ALL-STAT PORTABLE MI 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) 337-1000
Entity
Organization
Contact information
Practice address
515 SHIP ST STE 209, SAINT JOSEPH, MI 49085-1155
(224) 337-1203
(224) 337-1204
Mailing address
8235 CHRISTIANA AVE, SKOKIE, IL 60076-2910
(224) 337-1000
(224) 337-1204
Taxonomy
Speciality
Code
Description
License number
State
261QR0208X
Mobile Radiology Clinic/Center
Primary
—
—
335V00000X
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
—
—
Other
Enumeration date
04/05/2022
Last updated
04/05/2022
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