Organization
DAV-KIM PORTABLE X RAY SERVICE CO
Active
Other names
ALL-STAT PORTABLE XRAY
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ETAI SOOLIMAN (CEO)
(224) 337-1000
Entity
Organization
Contact information
Practice address
8235 CHRISTIANA AVE, SKOKIE, IL 60076-2910
(224) 337-1000
(224) 337-0100
Mailing address
PO BOX 1126, NORTHBROOK, IL 60065-1126
(224) 337-1000
(224) 337-0100
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
320700000X
Physical Disabilities Residential Treatment Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
206164
MEDICARE PTAN
—
01
—
CM7408
RAILROAD MEDICARE
—
Enumeration date
11/01/2006
Last updated
07/21/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us