All-Stat Portable in LLC

NPI #1720545296 in Fort Wayne, Indiana

Provider Information

NPI Number
1720545296
Entity Type
Organization
Organization Name
All-Stat Portable in 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 21, 2019
Last Updated
Feb 9, 2023

Practice Location

Address
3201 STELLHORN RD STE A129
State
Indiana
ZIP Code
46815-4697
Phone
(224) 337-1401

Authorized Official

Name
MR. ETAI SOOLIMAN
Title
CEO
Phone
(224) 337-1000

Specialties & Taxonomy Codes

Specialty
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier

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