All-Stat Portable Wi, LLC

NPI #1023642204 in Greenfield, Wisconsin

Provider Information

NPI Number: 1023642204
Entity Type: Organization
Organization Name: All-Stat Portable Wi, LLC
Subpart: Yes (part of a larger organization)
Parent Organization: ALL-STAT PORTABLE, LLC
Primary Specialty: Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Enumeration Date: Feb 27, 2020
Last Updated: Aug 26, 2021

Practice Location

Address: 4811 S 76TH ST # 405
City: Greenfield
State: Wisconsin
ZIP Code: 53220-4364
Phone: (224) 337-0073

Authorized Official

Name: MR. ETAI SOOLIMAN
Title: CEO
Phone: (224) 337-1199

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier	335V00000X	Primary

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