All-Stat Portable Wi, LLC

NPI #1801420823 in Greenfield, Wisconsin

Provider Information

NPI Number
1801420823
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
Clinic/Center - Radiology, Mobile
Enumeration Date
Feb 28, 2020
Last Updated
Aug 26, 2021

Practice Location

Address
4811 S 76TH ST # 405
ZIP Code
53220-4364
Phone
(224) 337-0073

Authorized Official

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

Specialties & Taxonomy Codes

Specialty
Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
Clinic/Center - Radiology, MobileRadiology, Mobile

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